National Provider Identifier [NPI]: |
1497728760 |
Last Name Of The Provider |
IJAZ |
First Name Of The Provider |
MOHSIN |
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 |
11119 ROCKVILLE PIKE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208523143 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
6948 |
Number Of Medicare Beneficiaries |
989 |
Total Submitted Charge Amount |
1430237.94 |
Total Medicare Allowed Amount |
681931.7 |
Total Medicare Payment Amount |
520673.92 |
Total Medicare Standardized Payment Amount |
452384.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3399 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
8588.76 |
Total Drug Medicare AllowedAmount |
3308.17 |
Total Drug Medicare PaymentAmount |
2552.03 |
Total Drug Medicare Standardized Payment Amount |
2552.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
3549 |
Number Of Medicare Beneficiaries With Medical Services |
989 |
Total Medical Submitted Charge Amount |
1421649.18 |
Total Medical Medicare Allowed Amount |
678623.53 |
Total Medical Medicare Payment Amount |
518121.89 |
Total Medical Medicare Standardized Payment Amount |
449832.71 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
433 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
598 |
Number Of Male Beneficiaries |
391 |
Number Of Non Hispanic White Beneficiaries |
360 |
Number Of Black or African American Beneficiaries |
400 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
140 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
707 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
282 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5186 |