National Provider Identifier [NPI]: |
1215990304 |
Last Name Of The Provider |
KAZI |
First Name Of The Provider |
AFAQ |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9802 STOCKDALE HWY |
Street Address 2 Of The Provider |
105 |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
93311 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2131 |
Number Of Medicare Beneficiaries |
420 |
Total Submitted Charge Amount |
791849.63 |
Total Medicare Allowed Amount |
170059.03 |
Total Medicare Payment Amount |
125192.32 |
Total Medicare Standardized Payment Amount |
123757.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
191 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
8012 |
Total Drug Medicare AllowedAmount |
1216.93 |
Total Drug Medicare PaymentAmount |
942.18 |
Total Drug Medicare Standardized Payment Amount |
942.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1940 |
Number Of Medicare Beneficiaries With Medical Services |
420 |
Total Medical Submitted Charge Amount |
783837.63 |
Total Medical Medicare Allowed Amount |
168842.1 |
Total Medical Medicare Payment Amount |
124250.14 |
Total Medical Medicare Standardized Payment Amount |
122815.49 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
213 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
142 |
Number Of Non Hispanic White Beneficiaries |
312 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4109 |