National Provider Identifier [NPI]: |
1255371498 |
Last Name Of The Provider |
MOEED |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3228 W 95TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EVERGREEN PARK |
Zip Code Of The Provider |
608052314 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
3390 |
Number Of Medicare Beneficiaries |
653 |
Total Submitted Charge Amount |
538719 |
Total Medicare Allowed Amount |
281999.47 |
Total Medicare Payment Amount |
214828.5 |
Total Medicare Standardized Payment Amount |
200481.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
1675 |
Total Drug Medicare AllowedAmount |
859.75 |
Total Drug Medicare PaymentAmount |
828.78 |
Total Drug Medicare Standardized Payment Amount |
828.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3351 |
Number Of Medicare Beneficiaries With Medical Services |
653 |
Total Medical Submitted Charge Amount |
537044 |
Total Medical Medicare Allowed Amount |
281139.72 |
Total Medical Medicare Payment Amount |
213999.72 |
Total Medical Medicare Standardized Payment Amount |
199652.41 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
154 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
407 |
Number Of Male Beneficiaries |
246 |
Number Of Non Hispanic White Beneficiaries |
209 |
Number Of Black or African American Beneficiaries |
384 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
324 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
329 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.5413 |