National Provider Identifier [NPI]: |
1912967142 |
Last Name Of The Provider |
HAMMAD |
First Name Of The Provider |
MUSTAFA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1931 MARTIN LUTHER KING JR BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PANAMA CITY |
Zip Code Of The Provider |
324055314 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
160 |
Number Of Services |
17022 |
Number Of Medicare Beneficiaries |
1366 |
Total Submitted Charge Amount |
3252100.55 |
Total Medicare Allowed Amount |
1374598.29 |
Total Medicare Payment Amount |
1064296.06 |
Total Medicare Standardized Payment Amount |
1082305.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
4477 |
Number Of Medicare Beneficiaries With Drug Services |
277 |
Total Drug Submitted ChargeAmount |
52424.55 |
Total Drug Medicare AllowedAmount |
15123.52 |
Total Drug Medicare PaymentAmount |
11800.62 |
Total Drug Medicare Standardized Payment Amount |
11800.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
153 |
Number Of Medical Services |
12545 |
Number Of Medicare Beneficiaries With Medical Services |
1366 |
Total Medical Submitted Charge Amount |
3199676 |
Total Medical Medicare Allowed Amount |
1359474.77 |
Total Medical Medicare Payment Amount |
1052495.44 |
Total Medical Medicare Standardized Payment Amount |
1070504.6 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
647 |
Number Of Beneficiaries Age 65 to 74 |
441 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
795 |
Number Of Male Beneficiaries |
571 |
Number Of Non Hispanic White Beneficiaries |
1175 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
777 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
589 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4805 |