| National Provider Identifier [NPI]: | 1326019597 |
| Last Name Of The Provider | KAMRAN |
| First Name Of The Provider | MOHAMMAD |
| 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 | 1700 CHRISTINE AVE |
| Street Address 2 Of The Provider | STE 100 |
| City Of The Provider | ANNISTON |
| Zip Code Of The Provider | 362073812 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 173 |
| Number Of Services | 18076 |
| Number Of Medicare Beneficiaries | 3351 |
| Total Submitted Charge Amount | 4189461.1 |
| Total Medicare Allowed Amount | 1753302.79 |
| Total Medicare Payment Amount | 1316659.36 |
| Total Medicare Standardized Payment Amount | 1443859.19 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 1007 |
| Number Of Medicare Beneficiaries With Drug Services | 184 |
| Total Drug Submitted ChargeAmount | 17527 |
| Total Drug Medicare AllowedAmount | 1344.07 |
| Total Drug Medicare PaymentAmount | 1023.49 |
| Total Drug Medicare Standardized Payment Amount | 1023.49 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 166 |
| Number Of Medical Services | 17069 |
| Number Of Medicare Beneficiaries With Medical Services | 3351 |
| Total Medical Submitted Charge Amount | 4171934.1 |
| Total Medical Medicare Allowed Amount | 1751958.72 |
| Total Medical Medicare Payment Amount | 1315635.87 |
| Total Medical Medicare Standardized Payment Amount | 1442835.7 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 766 |
| Number Of Beneficiaries Age 65 to 74 | 1179 |
| Number Of Beneficiaries Age 75 to 84 | 967 |
| Number Of Beneficiaries Age Greater 84 | 439 |
| Number Of Female Beneficiaries | 1934 |
| Number Of Male Beneficiaries | 1417 |
| Number Of Non Hispanic White Beneficiaries | 2655 |
| Number Of Black or African American Beneficiaries | 642 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 24 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 17 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2356 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 995 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 43 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.7365 |