National Provider Identifier [NPI]: |
1114918265 |
Last Name Of The Provider |
HAMID |
First Name Of The Provider |
BASEM |
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 |
11920 ASTORIA BLVD |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770896097 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
9344 |
Number Of Medicare Beneficiaries |
618 |
Total Submitted Charge Amount |
2272193.23 |
Total Medicare Allowed Amount |
646207.13 |
Total Medicare Payment Amount |
493020.76 |
Total Medicare Standardized Payment Amount |
497698.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5134 |
Number Of Medicare Beneficiaries With Drug Services |
260 |
Total Drug Submitted ChargeAmount |
75197 |
Total Drug Medicare AllowedAmount |
32977.8 |
Total Drug Medicare PaymentAmount |
25779.86 |
Total Drug Medicare Standardized Payment Amount |
25779.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
4210 |
Number Of Medicare Beneficiaries With Medical Services |
618 |
Total Medical Submitted Charge Amount |
2196996.23 |
Total Medical Medicare Allowed Amount |
613229.33 |
Total Medical Medicare Payment Amount |
467240.9 |
Total Medical Medicare Standardized Payment Amount |
471918.38 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
224 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
206 |
Number Of Non Hispanic White Beneficiaries |
394 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
416 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.993 |