National Provider Identifier [NPI]: |
1245299924 |
Last Name Of The Provider |
MAHMOOD |
First Name Of The Provider |
SADEEM |
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 |
7200 S HAZEL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PINE BLUFF |
Zip Code Of The Provider |
716037836 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
7132 |
Number Of Medicare Beneficiaries |
1013 |
Total Submitted Charge Amount |
1607986 |
Total Medicare Allowed Amount |
798224.52 |
Total Medicare Payment Amount |
608879.41 |
Total Medicare Standardized Payment Amount |
663749.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
736 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
49312 |
Total Drug Medicare AllowedAmount |
38966.83 |
Total Drug Medicare PaymentAmount |
30143.42 |
Total Drug Medicare Standardized Payment Amount |
30143.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
6396 |
Number Of Medicare Beneficiaries With Medical Services |
1013 |
Total Medical Submitted Charge Amount |
1558674 |
Total Medical Medicare Allowed Amount |
759257.69 |
Total Medical Medicare Payment Amount |
578735.99 |
Total Medical Medicare Standardized Payment Amount |
633606.47 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
263 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
277 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
538 |
Number Of Male Beneficiaries |
475 |
Number Of Non Hispanic White Beneficiaries |
610 |
Number Of Black or African American Beneficiaries |
391 |
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 |
616 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
397 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
66 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1963 |