National Provider Identifier [NPI]: |
1477590255 |
Last Name Of The Provider |
SAIED |
First Name Of The Provider |
JALAL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15 W 7TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREDERICK |
Zip Code Of The Provider |
217014501 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
2287 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
278291 |
Total Medicare Allowed Amount |
165620.75 |
Total Medicare Payment Amount |
116906.21 |
Total Medicare Standardized Payment Amount |
116789.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
213 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
9861 |
Total Drug Medicare AllowedAmount |
6419.96 |
Total Drug Medicare PaymentAmount |
6089.2 |
Total Drug Medicare Standardized Payment Amount |
6089.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
2074 |
Number Of Medicare Beneficiaries With Medical Services |
461 |
Total Medical Submitted Charge Amount |
268430 |
Total Medical Medicare Allowed Amount |
159200.79 |
Total Medical Medicare Payment Amount |
110817.01 |
Total Medical Medicare Standardized Payment Amount |
110700.34 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
207 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
218 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
375 |
Number Of Black or African American Beneficiaries |
61 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1354 |