National Provider Identifier [NPI]: |
1942252317 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
NAEEM |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1121 N CENTRAL AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
KISSIMMEE |
Zip Code Of The Provider |
347414405 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
4560 |
Number Of Medicare Beneficiaries |
907 |
Total Submitted Charge Amount |
905118.75 |
Total Medicare Allowed Amount |
438438.98 |
Total Medicare Payment Amount |
338072.42 |
Total Medicare Standardized Payment Amount |
339508.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
2479.62 |
Total Drug Medicare AllowedAmount |
282.32 |
Total Drug Medicare PaymentAmount |
244.7 |
Total Drug Medicare Standardized Payment Amount |
244.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4489 |
Number Of Medicare Beneficiaries With Medical Services |
907 |
Total Medical Submitted Charge Amount |
902639.13 |
Total Medical Medicare Allowed Amount |
438156.66 |
Total Medical Medicare Payment Amount |
337827.72 |
Total Medical Medicare Standardized Payment Amount |
339263.36 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
309 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
478 |
Number Of Male Beneficiaries |
429 |
Number Of Non Hispanic White Beneficiaries |
625 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
169 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
573 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
334 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
63 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
65 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.9672 |