National Provider Identifier [NPI]: |
1669676250 |
Last Name Of The Provider |
ABDULLAH |
First Name Of The Provider |
SHAAD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 FOREST GLEN RD STE 435 |
Street Address 2 Of The Provider |
GREATER WASHINGTON ONCOLOGY ASSOCIATES |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209101489 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
16441 |
Number Of Medicare Beneficiaries |
378 |
Total Submitted Charge Amount |
640440 |
Total Medicare Allowed Amount |
323127.1 |
Total Medicare Payment Amount |
216462.23 |
Total Medicare Standardized Payment Amount |
208294.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
34 |
Number Of Drug Services |
14620 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
383417 |
Total Drug Medicare AllowedAmount |
187634.9 |
Total Drug Medicare PaymentAmount |
115154.16 |
Total Drug Medicare Standardized Payment Amount |
115154.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1821 |
Number Of Medicare Beneficiaries With Medical Services |
378 |
Total Medical Submitted Charge Amount |
257023 |
Total Medical Medicare Allowed Amount |
135492.2 |
Total Medical Medicare Payment Amount |
101308.07 |
Total Medical Medicare Standardized Payment Amount |
93140.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
194 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
146 |
Number Of Black or African American Beneficiaries |
194 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
37 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.6204 |