National Provider Identifier [NPI]: |
1457435745 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
SHEIKH |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1631 NORTH LOOP W STE 400 |
Street Address 2 Of The Provider |
427 WEST 20TH STREET #712 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770081591 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
9554 |
Number Of Medicare Beneficiaries |
904 |
Total Submitted Charge Amount |
1634066 |
Total Medicare Allowed Amount |
685310.37 |
Total Medicare Payment Amount |
519544.76 |
Total Medicare Standardized Payment Amount |
520904.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
371 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
18187 |
Total Drug Medicare AllowedAmount |
13856.81 |
Total Drug Medicare PaymentAmount |
10909.13 |
Total Drug Medicare Standardized Payment Amount |
10909.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
9183 |
Number Of Medicare Beneficiaries With Medical Services |
904 |
Total Medical Submitted Charge Amount |
1615879 |
Total Medical Medicare Allowed Amount |
671453.56 |
Total Medical Medicare Payment Amount |
508635.63 |
Total Medical Medicare Standardized Payment Amount |
509995.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
242 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
406 |
Number Of Non Hispanic White Beneficiaries |
299 |
Number Of Black or African American Beneficiaries |
399 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
182 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
399 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.9971 |