National Provider Identifier [NPI]: |
1922028604 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
MATEEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
834 WEST MEETING ST MOB4 |
Street Address 2 Of The Provider |
SUITE E |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
297206220 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
3721 |
Number Of Medicare Beneficiaries |
891 |
Total Submitted Charge Amount |
805950 |
Total Medicare Allowed Amount |
488536.06 |
Total Medicare Payment Amount |
376402.13 |
Total Medicare Standardized Payment Amount |
397515.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3721 |
Number Of Medicare Beneficiaries With Medical Services |
891 |
Total Medical Submitted Charge Amount |
805950 |
Total Medical Medicare Allowed Amount |
488536.06 |
Total Medical Medicare Payment Amount |
376402.13 |
Total Medical Medicare Standardized Payment Amount |
397515.56 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
278 |
Number Of Beneficiaries Age 65 to 74 |
343 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
444 |
Number Of Non Hispanic White Beneficiaries |
873 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
436 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
455 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
63 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6839 |