National Provider Identifier [NPI]: |
1902987431 |
Last Name Of The Provider |
SHIKHTHOLTH |
First Name Of The Provider |
AHMAD |
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 |
2208 DANVILLE RD SW |
Street Address 2 Of The Provider |
SUITE G |
City Of The Provider |
DECATUR |
Zip Code Of The Provider |
356014603 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
10642 |
Number Of Medicare Beneficiaries |
726 |
Total Submitted Charge Amount |
985571 |
Total Medicare Allowed Amount |
532179.69 |
Total Medicare Payment Amount |
384377.17 |
Total Medicare Standardized Payment Amount |
422678.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
3271 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
49431 |
Total Drug Medicare AllowedAmount |
16809.55 |
Total Drug Medicare PaymentAmount |
4583.56 |
Total Drug Medicare Standardized Payment Amount |
4583.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
7371 |
Number Of Medicare Beneficiaries With Medical Services |
726 |
Total Medical Submitted Charge Amount |
936140 |
Total Medical Medicare Allowed Amount |
515370.14 |
Total Medical Medicare Payment Amount |
379793.61 |
Total Medical Medicare Standardized Payment Amount |
418095 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
402 |
Number Of Beneficiaries Age 65 to 74 |
216 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
477 |
Number Of Male Beneficiaries |
249 |
Number Of Non Hispanic White Beneficiaries |
631 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
419 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.6122 |