National Provider Identifier [NPI]: |
1194728584 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
SHILPI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7501 OSLER DR |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
TOWSON |
Zip Code Of The Provider |
212047733 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
4683 |
Number Of Medicare Beneficiaries |
1864 |
Total Submitted Charge Amount |
788549 |
Total Medicare Allowed Amount |
358622.06 |
Total Medicare Payment Amount |
271848.74 |
Total Medicare Standardized Payment Amount |
257399.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
463 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
48423 |
Total Drug Medicare AllowedAmount |
24436.7 |
Total Drug Medicare PaymentAmount |
18985.03 |
Total Drug Medicare Standardized Payment Amount |
18985.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4220 |
Number Of Medicare Beneficiaries With Medical Services |
1864 |
Total Medical Submitted Charge Amount |
740126 |
Total Medical Medicare Allowed Amount |
334185.36 |
Total Medical Medicare Payment Amount |
252863.71 |
Total Medical Medicare Standardized Payment Amount |
238414.69 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
259 |
Number Of Beneficiaries Age 65 to 74 |
574 |
Number Of Beneficiaries Age 75 to 84 |
586 |
Number Of Beneficiaries Age Greater 84 |
445 |
Number Of Female Beneficiaries |
1067 |
Number Of Male Beneficiaries |
797 |
Number Of Non Hispanic White Beneficiaries |
1575 |
Number Of Black or African American Beneficiaries |
236 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1577 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
287 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8682 |