National Provider Identifier [NPI]: |
1720052020 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
NAEEM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3720 KATALIN CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAY CITY |
Zip Code Of The Provider |
487062160 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
5282 |
Number Of Medicare Beneficiaries |
1024 |
Total Submitted Charge Amount |
542780 |
Total Medicare Allowed Amount |
381912.47 |
Total Medicare Payment Amount |
289042.7 |
Total Medicare Standardized Payment Amount |
299770.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
287 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
12765 |
Total Drug Medicare AllowedAmount |
7873.67 |
Total Drug Medicare PaymentAmount |
7673.74 |
Total Drug Medicare Standardized Payment Amount |
7673.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4995 |
Number Of Medicare Beneficiaries With Medical Services |
1023 |
Total Medical Submitted Charge Amount |
530015 |
Total Medical Medicare Allowed Amount |
374038.8 |
Total Medical Medicare Payment Amount |
281368.96 |
Total Medical Medicare Standardized Payment Amount |
292096.76 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
192 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
562 |
Number Of Male Beneficiaries |
462 |
Number Of Non Hispanic White Beneficiaries |
945 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
678 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
346 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.872 |