National Provider Identifier [NPI]: |
1841266996 |
Last Name Of The Provider |
ALAM |
First Name Of The Provider |
RABIUL |
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 |
11660 ALPHARETTA HWY |
Street Address 2 Of The Provider |
SUITE 430 |
City Of The Provider |
ROSWELL |
Zip Code Of The Provider |
300764943 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
251427 |
Number Of Medicare Beneficiaries |
490 |
Total Submitted Charge Amount |
1851598.19 |
Total Medicare Allowed Amount |
1145774.78 |
Total Medicare Payment Amount |
886455.32 |
Total Medicare Standardized Payment Amount |
882875.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
43 |
Number Of Drug Services |
244887 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
1149489.52 |
Total Drug Medicare AllowedAmount |
719516.3 |
Total Drug Medicare PaymentAmount |
559262.46 |
Total Drug Medicare Standardized Payment Amount |
559262.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
6540 |
Number Of Medicare Beneficiaries With Medical Services |
489 |
Total Medical Submitted Charge Amount |
702108.67 |
Total Medical Medicare Allowed Amount |
426258.48 |
Total Medical Medicare Payment Amount |
327192.86 |
Total Medical Medicare Standardized Payment Amount |
323613.35 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
424 |
Number Of Black or African American Beneficiaries |
37 |
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 |
423 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.4305 |