National Provider Identifier [NPI]: |
1952587610 |
Last Name Of The Provider |
MOHAMMED |
First Name Of The Provider |
EDU |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 GRESHAM DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
235071904 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
1894 |
Number Of Medicare Beneficiaries |
606 |
Total Submitted Charge Amount |
311162 |
Total Medicare Allowed Amount |
189214.74 |
Total Medicare Payment Amount |
144809.55 |
Total Medicare Standardized Payment Amount |
148213.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1894 |
Number Of Medicare Beneficiaries With Medical Services |
606 |
Total Medical Submitted Charge Amount |
311162 |
Total Medical Medicare Allowed Amount |
189214.74 |
Total Medical Medicare Payment Amount |
144809.55 |
Total Medical Medicare Standardized Payment Amount |
148213.6 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
197 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
331 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
304 |
Number Of Black or African American Beneficiaries |
289 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.5665 |