National Provider Identifier [NPI]: |
1023227030 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
KASHIF |
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 |
2200 HIGHWAY 155 N |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCDONOUGH |
Zip Code Of The Provider |
302524806 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
3867 |
Number Of Medicare Beneficiaries |
423 |
Total Submitted Charge Amount |
274892.92 |
Total Medicare Allowed Amount |
131529.54 |
Total Medicare Payment Amount |
94764.11 |
Total Medicare Standardized Payment Amount |
100208.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
915 |
Number Of Medicare Beneficiaries With Drug Services |
171 |
Total Drug Submitted ChargeAmount |
4726.96 |
Total Drug Medicare AllowedAmount |
2116.7 |
Total Drug Medicare PaymentAmount |
1784.58 |
Total Drug Medicare Standardized Payment Amount |
1784.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
2952 |
Number Of Medicare Beneficiaries With Medical Services |
423 |
Total Medical Submitted Charge Amount |
270165.96 |
Total Medical Medicare Allowed Amount |
129412.84 |
Total Medical Medicare Payment Amount |
92979.53 |
Total Medical Medicare Standardized Payment Amount |
98423.65 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
307 |
Number Of Black or African American Beneficiaries |
101 |
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 |
386 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
0.9212 |