| National Provider Identifier [NPI]: | 1790955219 |
| Last Name Of The Provider | AHMED |
| First Name Of The Provider | SHABANA |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9315 TELEGRAPH ROAD |
| Street Address 2 Of The Provider | LINCOLN BEHAVIORAL SERVICES |
| City Of The Provider | REDFORD |
| Zip Code Of The Provider | 48239 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Psychiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 14 |
| Number Of Services | 4457 |
| Number Of Medicare Beneficiaries | 496 |
| Total Submitted Charge Amount | 248601.25 |
| Total Medicare Allowed Amount | 193070.07 |
| Total Medicare Payment Amount | 143373.72 |
| Total Medicare Standardized Payment Amount | 142624.61 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2083 |
| Number Of Medicare Beneficiaries With Drug Services | 81 |
| Total Drug Submitted ChargeAmount | 21606.25 |
| Total Drug Medicare AllowedAmount | 21505.37 |
| Total Drug Medicare PaymentAmount | 16407.46 |
| Total Drug Medicare Standardized Payment Amount | 16407.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 11 |
| Number Of Medical Services | 2374 |
| Number Of Medicare Beneficiaries With Medical Services | 496 |
| Total Medical Submitted Charge Amount | 226995 |
| Total Medical Medicare Allowed Amount | 171564.7 |
| Total Medical Medicare Payment Amount | 126966.26 |
| Total Medical Medicare Standardized Payment Amount | 126217.15 |
| Average Age Of Beneficiaries | 51 |
| Number Of Beneficiaries Age Less65 | 434 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 241 |
| Number Of Male Beneficiaries | 255 |
| Number Of Non Hispanic White Beneficiaries | 286 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 142 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 354 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 3 |
| Percent Of With Heart Failure | 11 |
| Percent Of With Chronic Kidney Disease | 9 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 67 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 42 |
| Percent Of With Hypertension | 53 |
| Percent Of With Ischemic Heart Disease | 27 |
| Percent Of With Osteoporosis | 3 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 56 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.2967 |