National Provider Identifier [NPI]: |
1255314407 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1009 N DIXIE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELIZABETHTOWN |
Zip Code Of The Provider |
42701 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
3266 |
Number Of Medicare Beneficiaries |
352 |
Total Submitted Charge Amount |
320076 |
Total Medicare Allowed Amount |
201355.45 |
Total Medicare Payment Amount |
155555.96 |
Total Medicare Standardized Payment Amount |
165801.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
233 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
14780 |
Total Drug Medicare AllowedAmount |
4820.27 |
Total Drug Medicare PaymentAmount |
4668.88 |
Total Drug Medicare Standardized Payment Amount |
4668.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
3033 |
Number Of Medicare Beneficiaries With Medical Services |
352 |
Total Medical Submitted Charge Amount |
305296 |
Total Medical Medicare Allowed Amount |
196535.18 |
Total Medical Medicare Payment Amount |
150887.08 |
Total Medical Medicare Standardized Payment Amount |
161132.25 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
215 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
301 |
Number Of Black or African American Beneficiaries |
36 |
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 |
199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1697 |