National Provider Identifier [NPI]: |
1770784100 |
Last Name Of The Provider |
AL-HAJJ |
First Name Of The Provider |
AHMAD |
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 |
800 FIRST STREET |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
MACON |
Zip Code Of The Provider |
312018300 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
123499 |
Number Of Medicare Beneficiaries |
767 |
Total Submitted Charge Amount |
6751881 |
Total Medicare Allowed Amount |
2429100.63 |
Total Medicare Payment Amount |
1883196.41 |
Total Medicare Standardized Payment Amount |
1895239.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
80 |
Number Of Drug Services |
114456 |
Number Of Medicare Beneficiaries With Drug Services |
328 |
Total Drug Submitted ChargeAmount |
5520987 |
Total Drug Medicare AllowedAmount |
2005086.85 |
Total Drug Medicare PaymentAmount |
1554590.72 |
Total Drug Medicare Standardized Payment Amount |
1554590.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
9043 |
Number Of Medicare Beneficiaries With Medical Services |
767 |
Total Medical Submitted Charge Amount |
1230894 |
Total Medical Medicare Allowed Amount |
424013.78 |
Total Medical Medicare Payment Amount |
328605.69 |
Total Medical Medicare Standardized Payment Amount |
340649.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
264 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
591 |
Number Of Black or African American Beneficiaries |
163 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
648 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.1625 |