National Provider Identifier [NPI]: |
1255627840 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
NASEER |
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 |
6842 PARK AVE |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
ALLEN PARK |
Zip Code Of The Provider |
481012084 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
788 |
Number Of Medicare Beneficiaries |
333 |
Total Submitted Charge Amount |
76064 |
Total Medicare Allowed Amount |
52247.63 |
Total Medicare Payment Amount |
35443.78 |
Total Medicare Standardized Payment Amount |
37818.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
120 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
1280 |
Total Drug Medicare AllowedAmount |
210.98 |
Total Drug Medicare PaymentAmount |
146.26 |
Total Drug Medicare Standardized Payment Amount |
146.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
668 |
Number Of Medicare Beneficiaries With Medical Services |
333 |
Total Medical Submitted Charge Amount |
74784 |
Total Medical Medicare Allowed Amount |
52036.65 |
Total Medical Medicare Payment Amount |
35297.52 |
Total Medical Medicare Standardized Payment Amount |
37672.06 |
Average Age Of Beneficiaries |
53 |
Number Of Beneficiaries Age Less65 |
249 |
Number Of Beneficiaries Age 65 to 74 |
51 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
219 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
260 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
93 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
240 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2375 |