National Provider Identifier [NPI]: |
1710925748 |
Last Name Of The Provider |
DOSKI |
First Name Of The Provider |
MAHMOUD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1299 LAMBERTON DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209023411 |
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 |
25 |
Number Of Services |
2236 |
Number Of Medicare Beneficiaries |
318 |
Total Submitted Charge Amount |
240817.4 |
Total Medicare Allowed Amount |
120323.22 |
Total Medicare Payment Amount |
89061.21 |
Total Medicare Standardized Payment Amount |
79158.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
103 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
2664.01 |
Total Drug Medicare AllowedAmount |
1514.19 |
Total Drug Medicare PaymentAmount |
1474.01 |
Total Drug Medicare Standardized Payment Amount |
1474.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
2133 |
Number Of Medicare Beneficiaries With Medical Services |
318 |
Total Medical Submitted Charge Amount |
238153.39 |
Total Medical Medicare Allowed Amount |
118809.03 |
Total Medical Medicare Payment Amount |
87587.2 |
Total Medical Medicare Standardized Payment Amount |
77684.43 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
202 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
253 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9977 |