National Provider Identifier [NPI]: |
1336264860 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
SYED |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1409 E BRIGGSMORE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MODESTO |
Zip Code Of The Provider |
953552707 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3387 |
Number Of Medicare Beneficiaries |
1121 |
Total Submitted Charge Amount |
1344811 |
Total Medicare Allowed Amount |
420258.92 |
Total Medicare Payment Amount |
320909.07 |
Total Medicare Standardized Payment Amount |
310658.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
503 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
76530 |
Total Drug Medicare AllowedAmount |
26478.14 |
Total Drug Medicare PaymentAmount |
20660.3 |
Total Drug Medicare Standardized Payment Amount |
20660.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2884 |
Number Of Medicare Beneficiaries With Medical Services |
1121 |
Total Medical Submitted Charge Amount |
1268281 |
Total Medical Medicare Allowed Amount |
393780.78 |
Total Medical Medicare Payment Amount |
300248.77 |
Total Medical Medicare Standardized Payment Amount |
289997.92 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
191 |
Number Of Beneficiaries Age 65 to 74 |
420 |
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
182 |
Number Of Female Beneficiaries |
606 |
Number Of Male Beneficiaries |
515 |
Number Of Non Hispanic White Beneficiaries |
852 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
157 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
751 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
370 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7376 |