National Provider Identifier [NPI]: |
1831145929 |
Last Name Of The Provider |
AHMAD |
First Name Of The Provider |
MAHMOOD |
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 |
4050 LAKE OTIS PKWY |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
ANCHORAGE |
Zip Code Of The Provider |
995085223 |
State Code Of The Provider |
AK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
19541 |
Number Of Medicare Beneficiaries |
351 |
Total Submitted Charge Amount |
1558977 |
Total Medicare Allowed Amount |
534213.41 |
Total Medicare Payment Amount |
453308.24 |
Total Medicare Standardized Payment Amount |
385682.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1064 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
14036 |
Total Drug Medicare AllowedAmount |
7523.15 |
Total Drug Medicare PaymentAmount |
1453.28 |
Total Drug Medicare Standardized Payment Amount |
1453.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
18477 |
Number Of Medicare Beneficiaries With Medical Services |
351 |
Total Medical Submitted Charge Amount |
1544941 |
Total Medical Medicare Allowed Amount |
526690.26 |
Total Medical Medicare Payment Amount |
451854.96 |
Total Medical Medicare Standardized Payment Amount |
384228.81 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
265 |
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
306 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
176 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
28 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4323 |