Hasan Amir M.D.

Gender: M
Medical School: Other
Graduation Year: 2009
Primary Specialty: Internal Medicine

2017 Medicare Provider Charge and Payment Data

Medicare Participation?Y
Number of unique HCPCS codes submitted19
Total Provider Services2055
Total Medicare beneficiaries receiving the provider services736
The total charges that the provider submitted for all services$363,595.28
The Medicare allowed amount for all provider services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$220,623.19
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item services.$168,427.50
Total Medicare Standardized Payment Amount$173,284.03
Total number of HCPCS codes for drug services, as defined from the Medicare Part B Drug ASP File0
Total drug services, as defined from the Medicare Part B Drug ASP File0
Total Medicare beneficiaries receiving drug services, as defined from the Medicare Part B Drug ASP File.0
The total charges that the provider submitted for drug services, as defined from the Medicare Part B Drug ASP File.$0.00
The Medicare allowed amount for drug services, as defined from the Medicare Part B Drug ASP File. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item drug services, as defined from the Medicare Part B Drug ASP File.$0.00
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item drug service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care.$0.00
Total number of HCPCS codes associated with medical (non-ASP) services19
Total medical (non-ASP) services2055
Total Medicare beneficiaries receiving medical (non-ASP) services736
The total charges that the provider submitted for medical services (non-ASP)$363,595.28
The Medicare allowed amount for medical (non-ASP) services. This figure is the sum of the amount Medicare pays, the deductible and coinsurance amounts that the beneficiary is responsible for paying, and any amounts that a third party is responsible for paying.$220,623.19
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for all the provider's line item medical (non-ASP) services$168,427.50
Total amount that Medicare paid after deductible and coinsurance amounts have been deducted for the line item medical (non-ASP) service , as defined from the Medicare Part B Drug ASP File and after standardization of the Medicare payment has been applied. Standardization removes geographic differences in payment rates for individual services, such as those that account for local wages or input prices and makes Medicare payments across geographic areas comparable, so that differences reflect variation in factors such as physicians’ practice patterns and beneficiaries’ ability and willingness to obtain care$173,284.03
Average age of beneficiaries75
Number of beneficiaries under the age of 6599
Number of beneficiaries between the ages of 65 and 74232
Number of beneficiaries between the ages of 75 and 84227
Number of beneficiaries over the age of 84178
Number of Female beneficiaries404
Number of Male Beneficiaries332
Number of Non-Hispanic White Beneficiaries699
Number of Black or African American Beneficiaries17
Number of Medicare beneficiaries qualified to receive Medicare only benefits. Beneficiaries are classified as Medicare only entitlement if they received zero months of any Medicaid benefits (full or partial) in the given calendar year525
Number of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits. Beneficiaries are classified as Medicare and Medicaid entitlement if in any month in the given calendar year they were receiving full or partial Medicaid benefits211
Percent of beneficiaries meeting the CCW chronic condition algorithm for atrial fibrillation30%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Alzheimer’s, related disorders, or dementia34%
Percent of beneficiaries meeting the CCW chronic condition algorithm for Asthma12%
Percent of beneficiaries meeting the CCW chronic condition algorithms for cancer. Includes breast cancer, colorectal cancer, lung cancer and prostate cancer16%
Percent of beneficiaries meeting the CCW chronic condition algorithm for heart failure48%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic kidney disease58%
Percent of beneficiaries meeting the CCW chronic condition algorithm for chronic obstructive pulmonary disease41%
Percent of beneficiaries meeting the CCW chronic condition algorithm for depression50%
Percent of beneficiaries meeting the CCW chronic condition algorithm for diabetes43%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hyperlipidemia71%
Percent of beneficiaries meeting the CCW chronic condition algorithm for hypertension75%
Percent of beneficiaries meeting the CCW chronic condition algorithm for ischemic heart disease57%
Percent of beneficiaries meeting the CCW chronic condition algorithm for osteoporosis10%
Percent of beneficiaries meeting the CCW chronic condition algorithm for rheumatoid arthritis/osteoarthritis58%
Percent of beneficiaries meeting the CCW chronic condition algorithm for schizophrenia and other psychotic disorders13%
Percent of beneficiaries meeting the CCW chronic condition algorithm for stroke15%
Average Hierarchical Condition Category (HCC) risk score of beneficiaries2.3382

Source: data.cms.gov

Hasan Amir M.D.'s 2017 Charges to Medicare:

Services Description Times Provided Beneficiaries Beneficiaries per day Medicare Avg. Amt. Average Charge Avg Medicare Payment Percentage of Average
Hospital observation care discharge 169 161 169 $71.9 $116.48 $54.55 214%
Hospital observation care typically 70 minutes per day 154 149 154 $184.14 $298.2 $141.21 211%
Initial hospital inpatient care, typically 30 minutes per day 23 23 23 $100.76 $151.39 $76.18 199%
Initial hospital inpatient care, typically 50 minutes per day 15 15 15 $135.79 $201.73 $102.36 197%
Initial hospital inpatient care, typically 70 minutes per day 216 207 216 $200.65 $329.81 $151.5 218%
Subsequent observation care, typically 15 minutes per day 18 15 18 $39.64 $46.07 $29.28 157%
Subsequent observation care, typically 25 minutes per day 33 30 33 $72.22 $106.52 $54.17 197%
Subsequent hospital inpatient care, typically 15 minutes per day 280 150 280 $38.98 $60.25 $28.21 214%
Subsequent hospital inpatient care, typically 25 minutes per day 425 273 425 $71.56 $114.72 $54.93 209%
Subsequent hospital inpatient care, typically 35 minutes per day 274 196 274 $103.48 $164.14 $79.36 207%
Hospital observation or inpatient care high severity, 55 minutes per day 11 11 11 $216.15 $372.82 $156.42 238%
Hospital discharge day management, 30 minutes or less 17 17 17 $71.54 $123.71 $51.24 241%
Hospital discharge day management, more than 30 minutes 305 287 305 $105.86 $172.15 $81.74 211%
Critical care delivery critically ill or injured patient, first 30-74 minutes 98 45 98 $222.59 $440.82 $174.51 253%
Source: 2017 Provider CMS Charge Data