| National Provider Identifier [NPI]: | 1417054719 |
| Last Name Of The Provider | CHAKER |
| First Name Of The Provider | MOHAMMED |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 12001 SOUTH FWY |
| Street Address 2 Of The Provider | SUITE 205 |
| City Of The Provider | BURLESON |
| Zip Code Of The Provider | 760287208 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 84 |
| Number Of Services | 16919 |
| Number Of Medicare Beneficiaries | 2692 |
| Total Submitted Charge Amount | 2326092 |
| Total Medicare Allowed Amount | 921391.63 |
| Total Medicare Payment Amount | 678193.09 |
| Total Medicare Standardized Payment Amount | 683538.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 39 |
| Number Of Medicare Beneficiaries With Drug Services | 27 |
| Total Drug Submitted ChargeAmount | 725 |
| Total Drug Medicare AllowedAmount | 88 |
| Total Drug Medicare PaymentAmount | 51.7 |
| Total Drug Medicare Standardized Payment Amount | 51.7 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 82 |
| Number Of Medical Services | 16880 |
| Number Of Medicare Beneficiaries With Medical Services | 2692 |
| Total Medical Submitted Charge Amount | 2325367 |
| Total Medical Medicare Allowed Amount | 921303.63 |
| Total Medical Medicare Payment Amount | 678141.39 |
| Total Medical Medicare Standardized Payment Amount | 683486.93 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 197 |
| Number Of Beneficiaries Age 65 to 74 | 997 |
| Number Of Beneficiaries Age 75 to 84 | 907 |
| Number Of Beneficiaries Age Greater 84 | 591 |
| Number Of Female Beneficiaries | 1463 |
| Number Of Male Beneficiaries | 1229 |
| Number Of Non Hispanic White Beneficiaries | 2511 |
| Number Of Black or African American Beneficiaries | 69 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 81 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 15 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1834 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 858 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 32 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.5119 |