National Provider Identifier [NPI]: |
1629047816 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
RAHEEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2215 NEBRASKA AVE |
Street Address 2 Of The Provider |
SUITE 3-B |
City Of The Provider |
FORT PIERCE |
Zip Code Of The Provider |
349504864 |
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 |
42 |
Number Of Services |
2547 |
Number Of Medicare Beneficiaries |
480 |
Total Submitted Charge Amount |
373095 |
Total Medicare Allowed Amount |
258645.28 |
Total Medicare Payment Amount |
194284.34 |
Total Medicare Standardized Payment Amount |
185863.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
1015 |
Total Drug Medicare AllowedAmount |
330.29 |
Total Drug Medicare PaymentAmount |
315.88 |
Total Drug Medicare Standardized Payment Amount |
315.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2516 |
Number Of Medicare Beneficiaries With Medical Services |
480 |
Total Medical Submitted Charge Amount |
372080 |
Total Medical Medicare Allowed Amount |
258314.99 |
Total Medical Medicare Payment Amount |
193968.46 |
Total Medical Medicare Standardized Payment Amount |
185548.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
240 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
349 |
Number Of Black or African American Beneficiaries |
100 |
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 |
306 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.1197 |