National Provider Identifier [NPI]: |
1023005063 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5100 GATEWAY CTR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLINT |
Zip Code Of The Provider |
485073927 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
7632 |
Number Of Medicare Beneficiaries |
1607 |
Total Submitted Charge Amount |
1333500.7 |
Total Medicare Allowed Amount |
847921.52 |
Total Medicare Payment Amount |
646784.19 |
Total Medicare Standardized Payment Amount |
670914.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
953 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
58804 |
Total Drug Medicare AllowedAmount |
47800.98 |
Total Drug Medicare PaymentAmount |
37310.17 |
Total Drug Medicare Standardized Payment Amount |
37310.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
6679 |
Number Of Medicare Beneficiaries With Medical Services |
1607 |
Total Medical Submitted Charge Amount |
1274696.7 |
Total Medical Medicare Allowed Amount |
800120.54 |
Total Medical Medicare Payment Amount |
609474.02 |
Total Medical Medicare Standardized Payment Amount |
633604.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
417 |
Number Of Beneficiaries Age 65 to 74 |
497 |
Number Of Beneficiaries Age 75 to 84 |
456 |
Number Of Beneficiaries Age Greater 84 |
237 |
Number Of Female Beneficiaries |
865 |
Number Of Male Beneficiaries |
742 |
Number Of Non Hispanic White Beneficiaries |
1022 |
Number Of Black or African American Beneficiaries |
537 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1096 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
511 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.3193 |