National Provider Identifier [NPI]: |
1255489019 |
Last Name Of The Provider |
AHMED |
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 |
5356 REYNOLDS STREET |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
314056016 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
4999 |
Number Of Medicare Beneficiaries |
688 |
Total Submitted Charge Amount |
744535 |
Total Medicare Allowed Amount |
429095.25 |
Total Medicare Payment Amount |
322451.42 |
Total Medicare Standardized Payment Amount |
339159.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
231 |
Number Of Medicare Beneficiaries With Drug Services |
176 |
Total Drug Submitted ChargeAmount |
7770 |
Total Drug Medicare AllowedAmount |
3791.65 |
Total Drug Medicare PaymentAmount |
3537.34 |
Total Drug Medicare Standardized Payment Amount |
3537.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4768 |
Number Of Medicare Beneficiaries With Medical Services |
688 |
Total Medical Submitted Charge Amount |
736765 |
Total Medical Medicare Allowed Amount |
425303.6 |
Total Medical Medicare Payment Amount |
318914.08 |
Total Medical Medicare Standardized Payment Amount |
335621.88 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
396 |
Number Of Male Beneficiaries |
292 |
Number Of Non Hispanic White Beneficiaries |
419 |
Number Of Black or African American Beneficiaries |
248 |
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 |
513 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
62 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0749 |