National Provider Identifier [NPI]: |
1932165396 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
TAHMINA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
831 UNIVERSITY BLVD E |
Street Address 2 Of The Provider |
SUITE 27 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
209032916 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
5854 |
Number Of Medicare Beneficiaries |
623 |
Total Submitted Charge Amount |
735715 |
Total Medicare Allowed Amount |
507220.57 |
Total Medicare Payment Amount |
389624.92 |
Total Medicare Standardized Payment Amount |
325233.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
96 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
2455 |
Total Drug Medicare AllowedAmount |
1437.59 |
Total Drug Medicare PaymentAmount |
1384.7 |
Total Drug Medicare Standardized Payment Amount |
1384.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
5758 |
Number Of Medicare Beneficiaries With Medical Services |
623 |
Total Medical Submitted Charge Amount |
733260 |
Total Medical Medicare Allowed Amount |
505782.98 |
Total Medical Medicare Payment Amount |
388240.22 |
Total Medical Medicare Standardized Payment Amount |
323848.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
179 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
108 |
Number Of Black or African American Beneficiaries |
364 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
289 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
334 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
2.7977 |