National Provider Identifier [NPI]: |
1881929693 |
Last Name Of The Provider |
MOHAMMED |
First Name Of The Provider |
ADIL |
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 |
6500 W NEWBERRY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054309 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
4814 |
Number Of Medicare Beneficiaries |
1285 |
Total Submitted Charge Amount |
1011230.85 |
Total Medicare Allowed Amount |
428943.62 |
Total Medicare Payment Amount |
328703.78 |
Total Medicare Standardized Payment Amount |
327253.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
4814 |
Number Of Medicare Beneficiaries With Medical Services |
1285 |
Total Medical Submitted Charge Amount |
1011230.85 |
Total Medical Medicare Allowed Amount |
428943.62 |
Total Medical Medicare Payment Amount |
328703.78 |
Total Medical Medicare Standardized Payment Amount |
327253.53 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
253 |
Number Of Beneficiaries Age 65 to 74 |
283 |
Number Of Beneficiaries Age 75 to 84 |
378 |
Number Of Beneficiaries Age Greater 84 |
371 |
Number Of Female Beneficiaries |
736 |
Number Of Male Beneficiaries |
549 |
Number Of Non Hispanic White Beneficiaries |
1115 |
Number Of Black or African American Beneficiaries |
116 |
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 |
667 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
618 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
61 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
29 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.1549 |