National Provider Identifier [NPI]: |
1407886401 |
Last Name Of The Provider |
AHMED |
First Name Of The Provider |
NOORUZSABHA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1555 N. BARRINGTON RD |
Street Address 2 Of The Provider |
DOB III, SUITE 4100 |
City Of The Provider |
HOFFMAN ESTATES |
Zip Code Of The Provider |
60169 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
11555 |
Number Of Medicare Beneficiaries |
873 |
Total Submitted Charge Amount |
1489343.5 |
Total Medicare Allowed Amount |
798914.91 |
Total Medicare Payment Amount |
625418 |
Total Medicare Standardized Payment Amount |
587618.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
5105 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
259151.5 |
Total Drug Medicare AllowedAmount |
33868.66 |
Total Drug Medicare PaymentAmount |
26572.05 |
Total Drug Medicare Standardized Payment Amount |
26572.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
6450 |
Number Of Medicare Beneficiaries With Medical Services |
873 |
Total Medical Submitted Charge Amount |
1230192 |
Total Medical Medicare Allowed Amount |
765046.25 |
Total Medical Medicare Payment Amount |
598845.95 |
Total Medical Medicare Standardized Payment Amount |
561046.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
701 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
596 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
277 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
69 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.083 |