National Provider Identifier [NPI]: |
1376501312 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
NAVEEDA |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
811 13TH ST |
Street Address 2 Of The Provider |
SUITE 14 |
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
309012700 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
17601 |
Number Of Medicare Beneficiaries |
363 |
Total Submitted Charge Amount |
1472489 |
Total Medicare Allowed Amount |
575669.17 |
Total Medicare Payment Amount |
420598.28 |
Total Medicare Standardized Payment Amount |
431257.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
12491 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
1010489 |
Total Drug Medicare AllowedAmount |
408211.34 |
Total Drug Medicare PaymentAmount |
295456.51 |
Total Drug Medicare Standardized Payment Amount |
295456.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
5110 |
Number Of Medicare Beneficiaries With Medical Services |
363 |
Total Medical Submitted Charge Amount |
462000 |
Total Medical Medicare Allowed Amount |
167457.83 |
Total Medical Medicare Payment Amount |
125141.77 |
Total Medical Medicare Standardized Payment Amount |
135800.85 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
296 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
212 |
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 |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3175 |