National Provider Identifier [NPI]: |
1689627051 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
JAVEED |
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 |
44835 DATE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
935343102 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
21194 |
Number Of Medicare Beneficiaries |
629 |
Total Submitted Charge Amount |
1653860.49 |
Total Medicare Allowed Amount |
916818.2 |
Total Medicare Payment Amount |
669799 |
Total Medicare Standardized Payment Amount |
648008.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
17358 |
Number Of Medicare Beneficiaries With Drug Services |
276 |
Total Drug Submitted ChargeAmount |
978105.49 |
Total Drug Medicare AllowedAmount |
507521.01 |
Total Drug Medicare PaymentAmount |
375216.12 |
Total Drug Medicare Standardized Payment Amount |
375216.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3836 |
Number Of Medicare Beneficiaries With Medical Services |
629 |
Total Medical Submitted Charge Amount |
675755 |
Total Medical Medicare Allowed Amount |
409297.19 |
Total Medical Medicare Payment Amount |
294582.88 |
Total Medical Medicare Standardized Payment Amount |
272792.06 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
380 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
116 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
283 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
37 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5314 |