National Provider Identifier [NPI]: |
1346361169 |
Last Name Of The Provider |
MOHAMAD |
First Name Of The Provider |
ALMOIS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
971 LAKELAND DR |
Street Address 2 Of The Provider |
STE. 850 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
392164643 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
2109 |
Number Of Medicare Beneficiaries |
756 |
Total Submitted Charge Amount |
667411.73 |
Total Medicare Allowed Amount |
225675.84 |
Total Medicare Payment Amount |
175116.77 |
Total Medicare Standardized Payment Amount |
187146.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
64 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
7584 |
Total Drug Medicare AllowedAmount |
3391.57 |
Total Drug Medicare PaymentAmount |
2658.96 |
Total Drug Medicare Standardized Payment Amount |
2658.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
2045 |
Number Of Medicare Beneficiaries With Medical Services |
756 |
Total Medical Submitted Charge Amount |
659827.73 |
Total Medical Medicare Allowed Amount |
222284.27 |
Total Medical Medicare Payment Amount |
172457.81 |
Total Medical Medicare Standardized Payment Amount |
184487.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
212 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
315 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
528 |
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 |
373 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
383 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.5423 |