National Provider Identifier [NPI]: |
1639158280 |
Last Name Of The Provider |
AHMER |
First Name Of The Provider |
LAEEQ |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
802 N DUPONT BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MILFORD |
Zip Code Of The Provider |
199631006 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
9417 |
Number Of Medicare Beneficiaries |
1925 |
Total Submitted Charge Amount |
1200569 |
Total Medicare Allowed Amount |
521811.66 |
Total Medicare Payment Amount |
392578.5 |
Total Medicare Standardized Payment Amount |
389477.99 |
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 |
42 |
Number Of Medical Services |
9417 |
Number Of Medicare Beneficiaries With Medical Services |
1925 |
Total Medical Submitted Charge Amount |
1200569 |
Total Medical Medicare Allowed Amount |
521811.66 |
Total Medical Medicare Payment Amount |
392578.5 |
Total Medical Medicare Standardized Payment Amount |
389477.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
269 |
Number Of Beneficiaries Age 65 to 74 |
742 |
Number Of Beneficiaries Age 75 to 84 |
613 |
Number Of Beneficiaries Age Greater 84 |
301 |
Number Of Female Beneficiaries |
996 |
Number Of Male Beneficiaries |
929 |
Number Of Non Hispanic White Beneficiaries |
1605 |
Number Of Black or African American Beneficiaries |
271 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1474 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
451 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7192 |