National Provider Identifier [NPI]: |
1639143548 |
Last Name Of The Provider |
AHMAD |
First Name Of The Provider |
MAQSOOD |
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 |
5434 W CAPITOL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
532162298 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
7826 |
Number Of Medicare Beneficiaries |
1089 |
Total Submitted Charge Amount |
3046335 |
Total Medicare Allowed Amount |
695295.39 |
Total Medicare Payment Amount |
533299.34 |
Total Medicare Standardized Payment Amount |
479970.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
452 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
28236 |
Total Drug Medicare AllowedAmount |
594.13 |
Total Drug Medicare PaymentAmount |
460.85 |
Total Drug Medicare Standardized Payment Amount |
460.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
7374 |
Number Of Medicare Beneficiaries With Medical Services |
1089 |
Total Medical Submitted Charge Amount |
3018099 |
Total Medical Medicare Allowed Amount |
694701.26 |
Total Medical Medicare Payment Amount |
532838.49 |
Total Medical Medicare Standardized Payment Amount |
479509.59 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
476 |
Number Of Beneficiaries Age 65 to 74 |
334 |
Number Of Beneficiaries Age 75 to 84 |
191 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
570 |
Number Of Male Beneficiaries |
519 |
Number Of Non Hispanic White Beneficiaries |
318 |
Number Of Black or African American Beneficiaries |
628 |
Number Of AsianPacific Islander Beneficiaries |
76 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
789 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.6736 |