National Provider Identifier [NPI]: |
1881699858 |
Last Name Of The Provider |
MUNIM |
First Name Of The Provider |
AMJAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1820 E COMMERCIAL BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT LAUDERDALE |
Zip Code Of The Provider |
333083725 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
9799 |
Number Of Medicare Beneficiaries |
613 |
Total Submitted Charge Amount |
1813333 |
Total Medicare Allowed Amount |
860316.8 |
Total Medicare Payment Amount |
669309.58 |
Total Medicare Standardized Payment Amount |
640842.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
370 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
11934 |
Total Drug Medicare AllowedAmount |
2415.94 |
Total Drug Medicare PaymentAmount |
1909.52 |
Total Drug Medicare Standardized Payment Amount |
1909.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
9429 |
Number Of Medicare Beneficiaries With Medical Services |
613 |
Total Medical Submitted Charge Amount |
1801399 |
Total Medical Medicare Allowed Amount |
857900.86 |
Total Medical Medicare Payment Amount |
667400.06 |
Total Medical Medicare Standardized Payment Amount |
638932.98 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
442 |
Number Of Black or African American Beneficiaries |
120 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.9308 |