National Provider Identifier [NPI]: |
1255525945 |
Last Name Of The Provider |
ABRAHIM |
First Name Of The Provider |
SHAMEER |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
610 PROVIDENCE PARK DR E |
Street Address 2 Of The Provider |
BLDG 1, SUITE 102 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366954622 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
4305 |
Number Of Medicare Beneficiaries |
439 |
Total Submitted Charge Amount |
239082 |
Total Medicare Allowed Amount |
165690.02 |
Total Medicare Payment Amount |
128263.6 |
Total Medicare Standardized Payment Amount |
137010.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
186 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
4834 |
Total Drug Medicare AllowedAmount |
2846.66 |
Total Drug Medicare PaymentAmount |
2652.43 |
Total Drug Medicare Standardized Payment Amount |
2652.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
4119 |
Number Of Medicare Beneficiaries With Medical Services |
439 |
Total Medical Submitted Charge Amount |
234248 |
Total Medical Medicare Allowed Amount |
162843.36 |
Total Medical Medicare Payment Amount |
125611.17 |
Total Medical Medicare Standardized Payment Amount |
134357.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
218 |
Number Of Non Hispanic White Beneficiaries |
375 |
Number Of Black or African American Beneficiaries |
51 |
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 |
379 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5047 |