National Provider Identifier [NPI]: |
1760431860 |
Last Name Of The Provider |
ASHRAF |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6559 WILSON MILLS RD |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
MAYFIELD VILLAGE |
Zip Code Of The Provider |
441436402 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
5815 |
Number Of Medicare Beneficiaries |
1007 |
Total Submitted Charge Amount |
729747.75 |
Total Medicare Allowed Amount |
508771.02 |
Total Medicare Payment Amount |
391132.37 |
Total Medicare Standardized Payment Amount |
400930.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
240 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
8067.5 |
Total Drug Medicare AllowedAmount |
4763.84 |
Total Drug Medicare PaymentAmount |
4617.39 |
Total Drug Medicare Standardized Payment Amount |
4617.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
5575 |
Number Of Medicare Beneficiaries With Medical Services |
1007 |
Total Medical Submitted Charge Amount |
721680.25 |
Total Medical Medicare Allowed Amount |
504007.18 |
Total Medical Medicare Payment Amount |
386514.98 |
Total Medical Medicare Standardized Payment Amount |
396313.19 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
296 |
Number Of Beneficiaries Age 75 to 84 |
325 |
Number Of Beneficiaries Age Greater 84 |
307 |
Number Of Female Beneficiaries |
556 |
Number Of Male Beneficiaries |
451 |
Number Of Non Hispanic White Beneficiaries |
883 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
881 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.986 |