National Provider Identifier [NPI]: |
1053363341 |
Last Name Of The Provider |
SYED |
First Name Of The Provider |
SAIF |
Middle Initial Of The Provider |
U |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1447 YORK RD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
LUTHERVILLE |
Zip Code Of The Provider |
210936017 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
3902 |
Number Of Medicare Beneficiaries |
910 |
Total Submitted Charge Amount |
1217385.3 |
Total Medicare Allowed Amount |
807687.27 |
Total Medicare Payment Amount |
619885.45 |
Total Medicare Standardized Payment Amount |
568172.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
63 |
Total Drug Medicare AllowedAmount |
37.58 |
Total Drug Medicare PaymentAmount |
28.04 |
Total Drug Medicare Standardized Payment Amount |
28.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
3881 |
Number Of Medicare Beneficiaries With Medical Services |
910 |
Total Medical Submitted Charge Amount |
1217322.3 |
Total Medical Medicare Allowed Amount |
807649.69 |
Total Medical Medicare Payment Amount |
619857.41 |
Total Medical Medicare Standardized Payment Amount |
568144.18 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
202 |
Number Of Female Beneficiaries |
391 |
Number Of Male Beneficiaries |
519 |
Number Of Non Hispanic White Beneficiaries |
877 |
Number Of Black or African American Beneficiaries |
|
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
883 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1188 |