National Provider Identifier [NPI]: |
1811963432 |
Last Name Of The Provider |
SHAMSI |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
705 JESSE JEWELL PKWY SE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
305013867 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
4235 |
Number Of Medicare Beneficiaries |
1298 |
Total Submitted Charge Amount |
1044601.5 |
Total Medicare Allowed Amount |
346905.59 |
Total Medicare Payment Amount |
258259.75 |
Total Medicare Standardized Payment Amount |
276331.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
346 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
35993 |
Total Drug Medicare AllowedAmount |
18156.84 |
Total Drug Medicare PaymentAmount |
13816.31 |
Total Drug Medicare Standardized Payment Amount |
13816.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3889 |
Number Of Medicare Beneficiaries With Medical Services |
1298 |
Total Medical Submitted Charge Amount |
1008608.5 |
Total Medical Medicare Allowed Amount |
328748.75 |
Total Medical Medicare Payment Amount |
244443.44 |
Total Medical Medicare Standardized Payment Amount |
262514.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
478 |
Number Of Beneficiaries Age 75 to 84 |
447 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
649 |
Number Of Male Beneficiaries |
649 |
Number Of Non Hispanic White Beneficiaries |
1181 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
994 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
304 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7937 |