National Provider Identifier [NPI]: |
1093984411 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
BILAL |
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 |
110 HOSPITAL RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
PRINCE FREDERICK |
Zip Code Of The Provider |
206784019 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
20822 |
Number Of Medicare Beneficiaries |
380 |
Total Submitted Charge Amount |
947522.48 |
Total Medicare Allowed Amount |
662111.12 |
Total Medicare Payment Amount |
507843.71 |
Total Medicare Standardized Payment Amount |
506634.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
18761 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
569665.03 |
Total Drug Medicare AllowedAmount |
490308.83 |
Total Drug Medicare PaymentAmount |
379639.38 |
Total Drug Medicare Standardized Payment Amount |
379639.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2061 |
Number Of Medicare Beneficiaries With Medical Services |
380 |
Total Medical Submitted Charge Amount |
377857.45 |
Total Medical Medicare Allowed Amount |
171802.29 |
Total Medical Medicare Payment Amount |
128204.33 |
Total Medical Medicare Standardized Payment Amount |
126995 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
164 |
Number Of Non Hispanic White Beneficiaries |
306 |
Number Of Black or African American Beneficiaries |
|
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 |
318 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8581 |