National Provider Identifier [NPI]: |
1396733796 |
Last Name Of The Provider |
ABUBAKER |
First Name Of The Provider |
MOHAMMED |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
670 NORTH AVE NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300601127 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
103314 |
Number Of Medicare Beneficiaries |
570 |
Total Submitted Charge Amount |
4487101 |
Total Medicare Allowed Amount |
2589238.65 |
Total Medicare Payment Amount |
1972642.18 |
Total Medicare Standardized Payment Amount |
1975183.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
98927 |
Number Of Medicare Beneficiaries With Drug Services |
344 |
Total Drug Submitted ChargeAmount |
3503582 |
Total Drug Medicare AllowedAmount |
2233002.27 |
Total Drug Medicare PaymentAmount |
1710286.39 |
Total Drug Medicare Standardized Payment Amount |
1710286.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4387 |
Number Of Medicare Beneficiaries With Medical Services |
570 |
Total Medical Submitted Charge Amount |
983519 |
Total Medical Medicare Allowed Amount |
356236.38 |
Total Medical Medicare Payment Amount |
262355.79 |
Total Medical Medicare Standardized Payment Amount |
264897.07 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
428 |
Number Of Male Beneficiaries |
142 |
Number Of Non Hispanic White Beneficiaries |
465 |
Number Of Black or African American Beneficiaries |
73 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2346 |