National Provider Identifier [NPI]: |
1982601795 |
Last Name Of The Provider |
SAYED |
First Name Of The Provider |
MOHAMMED |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2200 E PARRISH AVE |
Street Address 2 Of The Provider |
STE. 203, BLDG. C |
City Of The Provider |
OWENSBORO |
Zip Code Of The Provider |
423031449 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
3758 |
Number Of Medicare Beneficiaries |
1020 |
Total Submitted Charge Amount |
429373.64 |
Total Medicare Allowed Amount |
267691.13 |
Total Medicare Payment Amount |
203510.3 |
Total Medicare Standardized Payment Amount |
217448.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
161 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
7110 |
Total Drug Medicare AllowedAmount |
981.33 |
Total Drug Medicare PaymentAmount |
858.69 |
Total Drug Medicare Standardized Payment Amount |
858.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
3597 |
Number Of Medicare Beneficiaries With Medical Services |
1020 |
Total Medical Submitted Charge Amount |
422263.64 |
Total Medical Medicare Allowed Amount |
266709.8 |
Total Medical Medicare Payment Amount |
202651.61 |
Total Medical Medicare Standardized Payment Amount |
216589.8 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
558 |
Number Of Male Beneficiaries |
462 |
Number Of Non Hispanic White Beneficiaries |
982 |
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 |
796 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
224 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4382 |