National Provider Identifier [NPI]: |
1487647293 |
Last Name Of The Provider |
AHAD |
First Name Of The Provider |
ARSHAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3390 TAMIAMI TRL |
Street Address 2 Of The Provider |
205 |
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339528157 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
29968 |
Number Of Medicare Beneficiaries |
364 |
Total Submitted Charge Amount |
825160.03 |
Total Medicare Allowed Amount |
376032.44 |
Total Medicare Payment Amount |
287573.46 |
Total Medicare Standardized Payment Amount |
287998.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
28 |
Number Of Drug Services |
27553 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
487563 |
Total Drug Medicare AllowedAmount |
175670.84 |
Total Drug Medicare PaymentAmount |
137090.94 |
Total Drug Medicare Standardized Payment Amount |
137090.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
2415 |
Number Of Medicare Beneficiaries With Medical Services |
364 |
Total Medical Submitted Charge Amount |
337597.03 |
Total Medical Medicare Allowed Amount |
200361.6 |
Total Medical Medicare Payment Amount |
150482.52 |
Total Medical Medicare Standardized Payment Amount |
150907.24 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
139 |
Number Of Non Hispanic White Beneficiaries |
315 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
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 |
40 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8501 |