National Provider Identifier [NPI]: |
1639126113 |
Last Name Of The Provider |
AKKAD |
First Name Of The Provider |
AYMAN |
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 |
1734 YORK ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LUTHERVILLE |
Zip Code Of The Provider |
21093 |
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 |
39 |
Number Of Services |
3706 |
Number Of Medicare Beneficiaries |
647 |
Total Submitted Charge Amount |
469826.41 |
Total Medicare Allowed Amount |
253990.63 |
Total Medicare Payment Amount |
176744.41 |
Total Medicare Standardized Payment Amount |
168579.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
420 |
Number Of Medicare Beneficiaries With Drug Services |
344 |
Total Drug Submitted ChargeAmount |
26368.93 |
Total Drug Medicare AllowedAmount |
12380.48 |
Total Drug Medicare PaymentAmount |
12041.94 |
Total Drug Medicare Standardized Payment Amount |
12041.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3286 |
Number Of Medicare Beneficiaries With Medical Services |
647 |
Total Medical Submitted Charge Amount |
443457.48 |
Total Medical Medicare Allowed Amount |
241610.15 |
Total Medical Medicare Payment Amount |
164702.47 |
Total Medical Medicare Standardized Payment Amount |
156537.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
190 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
516 |
Number Of Black or African American Beneficiaries |
103 |
Number Of AsianPacific Islander Beneficiaries |
16 |
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 |
561 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1567 |