National Provider Identifier [NPI]: |
1457316051 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
MUHAMMAD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1313 FISH HATCHERY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537151911 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
6200 |
Number Of Medicare Beneficiaries |
321 |
Total Submitted Charge Amount |
363426.75 |
Total Medicare Allowed Amount |
129929.19 |
Total Medicare Payment Amount |
99630.26 |
Total Medicare Standardized Payment Amount |
102602.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
32 |
Number Of Drug Services |
5292 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
126108.75 |
Total Drug Medicare AllowedAmount |
57571.02 |
Total Drug Medicare PaymentAmount |
45124.28 |
Total Drug Medicare Standardized Payment Amount |
45124.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
908 |
Number Of Medicare Beneficiaries With Medical Services |
320 |
Total Medical Submitted Charge Amount |
237318 |
Total Medical Medicare Allowed Amount |
72358.17 |
Total Medical Medicare Payment Amount |
54505.98 |
Total Medical Medicare Standardized Payment Amount |
57477.83 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
80 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
188 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
295 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
234 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4054 |