National Provider Identifier [NPI]: |
1538163860 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
FAHEEM |
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 |
7000 NORTH MOPAC |
Street Address 2 Of The Provider |
SUITE 420 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
78731 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
99407 |
Number Of Medicare Beneficiaries |
744 |
Total Submitted Charge Amount |
4582576 |
Total Medicare Allowed Amount |
1337788.79 |
Total Medicare Payment Amount |
1039602.28 |
Total Medicare Standardized Payment Amount |
1051605.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
95409 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
3603023 |
Total Drug Medicare AllowedAmount |
1040246.6 |
Total Drug Medicare PaymentAmount |
812053.67 |
Total Drug Medicare Standardized Payment Amount |
812053.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3998 |
Number Of Medicare Beneficiaries With Medical Services |
744 |
Total Medical Submitted Charge Amount |
979553 |
Total Medical Medicare Allowed Amount |
297542.19 |
Total Medical Medicare Payment Amount |
227548.61 |
Total Medical Medicare Standardized Payment Amount |
239552.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
306 |
Number Of Non Hispanic White Beneficiaries |
623 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
593 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9509 |