National Provider Identifier [NPI]: |
1144435124 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
ABSAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 JOHNSON FERRY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
30342 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
169 |
Number Of Services |
4276 |
Number Of Medicare Beneficiaries |
2980 |
Total Submitted Charge Amount |
749712.01 |
Total Medicare Allowed Amount |
169694.55 |
Total Medicare Payment Amount |
129281.41 |
Total Medicare Standardized Payment Amount |
131327.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
169 |
Number Of Medical Services |
4276 |
Number Of Medicare Beneficiaries With Medical Services |
2980 |
Total Medical Submitted Charge Amount |
749712.01 |
Total Medical Medicare Allowed Amount |
169694.55 |
Total Medical Medicare Payment Amount |
129281.41 |
Total Medical Medicare Standardized Payment Amount |
131327.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
389 |
Number Of Beneficiaries Age 65 to 74 |
1239 |
Number Of Beneficiaries Age 75 to 84 |
905 |
Number Of Beneficiaries Age Greater 84 |
447 |
Number Of Female Beneficiaries |
1809 |
Number Of Male Beneficiaries |
1171 |
Number Of Non Hispanic White Beneficiaries |
2606 |
Number Of Black or African American Beneficiaries |
231 |
Number Of AsianPacific Islander Beneficiaries |
49 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2492 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
488 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6761 |