National Provider Identifier [NPI]: |
1225119407 |
Last Name Of The Provider |
SAIYED |
First Name Of The Provider |
ASHFAQ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
202 S CHERRY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCILLA |
Zip Code Of The Provider |
317741804 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
5069 |
Number Of Medicare Beneficiaries |
503 |
Total Submitted Charge Amount |
394372.9 |
Total Medicare Allowed Amount |
273301.75 |
Total Medicare Payment Amount |
204105.58 |
Total Medicare Standardized Payment Amount |
213979.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
398 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
7340 |
Total Drug Medicare AllowedAmount |
3417.52 |
Total Drug Medicare PaymentAmount |
3259.48 |
Total Drug Medicare Standardized Payment Amount |
3259.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
4671 |
Number Of Medicare Beneficiaries With Medical Services |
503 |
Total Medical Submitted Charge Amount |
387032.9 |
Total Medical Medicare Allowed Amount |
269884.23 |
Total Medical Medicare Payment Amount |
200846.1 |
Total Medical Medicare Standardized Payment Amount |
210719.68 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
301 |
Number Of Black or African American Beneficiaries |
182 |
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 |
208 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
295 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2733 |