National Provider Identifier [NPI]: |
1851375042 |
Last Name Of The Provider |
WAHEED |
First Name Of The Provider |
ABDUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12821 OAK HILL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAGERSTOWN |
Zip Code Of The Provider |
217422940 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
4809 |
Number Of Medicare Beneficiaries |
1218 |
Total Submitted Charge Amount |
617115 |
Total Medicare Allowed Amount |
400283.63 |
Total Medicare Payment Amount |
302461.92 |
Total Medicare Standardized Payment Amount |
299270.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
3440 |
Total Drug Medicare AllowedAmount |
2206.77 |
Total Drug Medicare PaymentAmount |
2162.67 |
Total Drug Medicare Standardized Payment Amount |
2162.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
4702 |
Number Of Medicare Beneficiaries With Medical Services |
1218 |
Total Medical Submitted Charge Amount |
613675 |
Total Medical Medicare Allowed Amount |
398076.86 |
Total Medical Medicare Payment Amount |
300299.25 |
Total Medical Medicare Standardized Payment Amount |
297108.17 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
481 |
Number Of Beneficiaries Age 75 to 84 |
382 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
639 |
Number Of Male Beneficiaries |
579 |
Number Of Non Hispanic White Beneficiaries |
1151 |
Number Of Black or African American Beneficiaries |
33 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
969 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
249 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
53 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7689 |