National Provider Identifier [NPI]: |
1790853901 |
Last Name Of The Provider |
SAEED |
First Name Of The Provider |
MOHAMMED |
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 |
2647 S SAINT ELIZABETH BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GONZALES |
Zip Code Of The Provider |
707375021 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Geriatric Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
1406 |
Number Of Medicare Beneficiaries |
311 |
Total Submitted Charge Amount |
173483 |
Total Medicare Allowed Amount |
111920.94 |
Total Medicare Payment Amount |
82125.57 |
Total Medicare Standardized Payment Amount |
86234.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
880 |
Total Drug Medicare AllowedAmount |
499.25 |
Total Drug Medicare PaymentAmount |
488.14 |
Total Drug Medicare Standardized Payment Amount |
488.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1387 |
Number Of Medicare Beneficiaries With Medical Services |
311 |
Total Medical Submitted Charge Amount |
172603 |
Total Medical Medicare Allowed Amount |
111421.69 |
Total Medical Medicare Payment Amount |
81637.43 |
Total Medical Medicare Standardized Payment Amount |
85746.82 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
76 |
Number Of Beneficiaries Age 75 to 84 |
92 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
183 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
208 |
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 |
145 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
54 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.9053 |