National Provider Identifier [NPI]: |
1326247156 |
Last Name Of The Provider |
AHAD |
First Name Of The Provider |
DURAID |
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 |
11900 E 12 MILE RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
WARREN |
Zip Code Of The Provider |
480933400 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
1283 |
Number Of Medicare Beneficiaries |
469 |
Total Submitted Charge Amount |
173657 |
Total Medicare Allowed Amount |
133385.53 |
Total Medicare Payment Amount |
99595.66 |
Total Medicare Standardized Payment Amount |
96655.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
619 |
Total Drug Medicare AllowedAmount |
209.05 |
Total Drug Medicare PaymentAmount |
147.15 |
Total Drug Medicare Standardized Payment Amount |
147.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
1247 |
Number Of Medicare Beneficiaries With Medical Services |
469 |
Total Medical Submitted Charge Amount |
173038 |
Total Medical Medicare Allowed Amount |
133176.48 |
Total Medical Medicare Payment Amount |
99448.51 |
Total Medical Medicare Standardized Payment Amount |
96508.77 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
312 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
372 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6038 |