National Provider Identifier [NPI]: |
1700868809 |
Last Name Of The Provider |
TOUHEED |
First Name Of The Provider |
MOHAMMED |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 DUNN AVE |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322186330 |
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 |
129 |
Number Of Services |
4169 |
Number Of Medicare Beneficiaries |
834 |
Total Submitted Charge Amount |
1137344.5 |
Total Medicare Allowed Amount |
320492.85 |
Total Medicare Payment Amount |
241730.74 |
Total Medicare Standardized Payment Amount |
240308.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
310 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
5554.5 |
Total Drug Medicare AllowedAmount |
395.3 |
Total Drug Medicare PaymentAmount |
304.04 |
Total Drug Medicare Standardized Payment Amount |
304.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
3859 |
Number Of Medicare Beneficiaries With Medical Services |
834 |
Total Medical Submitted Charge Amount |
1131790 |
Total Medical Medicare Allowed Amount |
320097.55 |
Total Medical Medicare Payment Amount |
241426.7 |
Total Medical Medicare Standardized Payment Amount |
240004.64 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
453 |
Number Of Beneficiaries Age 65 to 74 |
220 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
492 |
Number Of Male Beneficiaries |
342 |
Number Of Non Hispanic White Beneficiaries |
558 |
Number Of Black or African American Beneficiaries |
239 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
445 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
389 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
65 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
28 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5785 |