National Provider Identifier [NPI]: |
1376830109 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
JUNAID |
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 |
8075 GATE PKWY W |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322163685 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5121 |
Number Of Medicare Beneficiaries |
850 |
Total Submitted Charge Amount |
992702.08 |
Total Medicare Allowed Amount |
494791.48 |
Total Medicare Payment Amount |
385449.26 |
Total Medicare Standardized Payment Amount |
386087.88 |
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 |
40 |
Number Of Medical Services |
5121 |
Number Of Medicare Beneficiaries With Medical Services |
850 |
Total Medical Submitted Charge Amount |
992702.08 |
Total Medical Medicare Allowed Amount |
494791.48 |
Total Medical Medicare Payment Amount |
385449.26 |
Total Medical Medicare Standardized Payment Amount |
386087.88 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
247 |
Number Of Female Beneficiaries |
508 |
Number Of Male Beneficiaries |
342 |
Number Of Non Hispanic White Beneficiaries |
661 |
Number Of Black or African American Beneficiaries |
150 |
Number Of AsianPacific Islander Beneficiaries |
16 |
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 |
548 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
302 |
Percent Of With Atrial Fibrillation |
42 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
69 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
50 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.6444 |