National Provider Identifier [NPI]: |
1730125170 |
Last Name Of The Provider |
JAVED |
First Name Of The Provider |
MOHAMMAD |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6447 LAKE WORTH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENACRES |
Zip Code Of The Provider |
334633007 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
10208 |
Number Of Medicare Beneficiaries |
646 |
Total Submitted Charge Amount |
724294.25 |
Total Medicare Allowed Amount |
639497.5 |
Total Medicare Payment Amount |
475342.63 |
Total Medicare Standardized Payment Amount |
458211.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
923.56 |
Total Drug Medicare AllowedAmount |
843.45 |
Total Drug Medicare PaymentAmount |
637.02 |
Total Drug Medicare Standardized Payment Amount |
637.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
10178 |
Number Of Medicare Beneficiaries With Medical Services |
646 |
Total Medical Submitted Charge Amount |
723370.69 |
Total Medical Medicare Allowed Amount |
638654.05 |
Total Medical Medicare Payment Amount |
474705.61 |
Total Medical Medicare Standardized Payment Amount |
457574.79 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
507 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
455 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1877 |