National Provider Identifier [NPI]: |
1972525939 |
Last Name Of The Provider |
ATA |
First Name Of The Provider |
AHMAD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4501 JOE RAMSEY BLVD E |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
754017836 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
16042 |
Number Of Medicare Beneficiaries |
708 |
Total Submitted Charge Amount |
3063048.06 |
Total Medicare Allowed Amount |
972776.64 |
Total Medicare Payment Amount |
739100.13 |
Total Medicare Standardized Payment Amount |
755366.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
9601 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
123037.2 |
Total Drug Medicare AllowedAmount |
46969.83 |
Total Drug Medicare PaymentAmount |
34434.05 |
Total Drug Medicare Standardized Payment Amount |
34434.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
6441 |
Number Of Medicare Beneficiaries With Medical Services |
708 |
Total Medical Submitted Charge Amount |
2940010.86 |
Total Medical Medicare Allowed Amount |
925806.81 |
Total Medical Medicare Payment Amount |
704666.08 |
Total Medical Medicare Standardized Payment Amount |
720932.91 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
430 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
592 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
247 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
48 |
Average HCC Risk Score Of Beneficiaries |
1.5975 |