National Provider Identifier [NPI]: |
1851543110 |
Last Name Of The Provider |
AHMAD |
First Name Of The Provider |
MASOOD |
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 |
2007 HARRISON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PANAMA CITY |
Zip Code Of The Provider |
324054545 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5715 |
Number Of Medicare Beneficiaries |
992 |
Total Submitted Charge Amount |
505484 |
Total Medicare Allowed Amount |
396463.57 |
Total Medicare Payment Amount |
294884.75 |
Total Medicare Standardized Payment Amount |
295570.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
463 |
Number Of Medicare Beneficiaries With Drug Services |
233 |
Total Drug Submitted ChargeAmount |
9030 |
Total Drug Medicare AllowedAmount |
3420.88 |
Total Drug Medicare PaymentAmount |
3345.14 |
Total Drug Medicare Standardized Payment Amount |
3345.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
5252 |
Number Of Medicare Beneficiaries With Medical Services |
992 |
Total Medical Submitted Charge Amount |
496454 |
Total Medical Medicare Allowed Amount |
393042.69 |
Total Medical Medicare Payment Amount |
291539.61 |
Total Medical Medicare Standardized Payment Amount |
292225.09 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
228 |
Number Of Female Beneficiaries |
592 |
Number Of Male Beneficiaries |
400 |
Number Of Non Hispanic White Beneficiaries |
888 |
Number Of Black or African American Beneficiaries |
85 |
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 |
686 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
306 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6338 |