National Provider Identifier [NPI]: |
1073513487 |
Last Name Of The Provider |
MOHAMMED |
First Name Of The Provider |
AKBER |
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 |
1911 E HIGH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
455051227 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
5678 |
Number Of Medicare Beneficiaries |
1715 |
Total Submitted Charge Amount |
905719 |
Total Medicare Allowed Amount |
456229.94 |
Total Medicare Payment Amount |
340643.79 |
Total Medicare Standardized Payment Amount |
356218.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
460 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
46000 |
Total Drug Medicare AllowedAmount |
24340.94 |
Total Drug Medicare PaymentAmount |
18609.17 |
Total Drug Medicare Standardized Payment Amount |
18609.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
5218 |
Number Of Medicare Beneficiaries With Medical Services |
1715 |
Total Medical Submitted Charge Amount |
859719 |
Total Medical Medicare Allowed Amount |
431889 |
Total Medical Medicare Payment Amount |
322034.62 |
Total Medical Medicare Standardized Payment Amount |
337609.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
360 |
Number Of Beneficiaries Age 65 to 74 |
531 |
Number Of Beneficiaries Age 75 to 84 |
507 |
Number Of Beneficiaries Age Greater 84 |
317 |
Number Of Female Beneficiaries |
909 |
Number Of Male Beneficiaries |
806 |
Number Of Non Hispanic White Beneficiaries |
1497 |
Number Of Black or African American Beneficiaries |
185 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1153 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
562 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9042 |