National Provider Identifier [NPI]: |
1639123714 |
Last Name Of The Provider |
EMAMI |
First Name Of The Provider |
AFSHIN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D., F.A.C.S. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1775 W SAINT MARYS RD |
Street Address 2 Of The Provider |
SUITE 211 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857452696 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
6559 |
Number Of Medicare Beneficiaries |
748 |
Total Submitted Charge Amount |
766296.98 |
Total Medicare Allowed Amount |
296680.9 |
Total Medicare Payment Amount |
216741.91 |
Total Medicare Standardized Payment Amount |
216698.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
120 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1674 |
Total Drug Medicare AllowedAmount |
369.28 |
Total Drug Medicare PaymentAmount |
280.49 |
Total Drug Medicare Standardized Payment Amount |
280.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
6439 |
Number Of Medicare Beneficiaries With Medical Services |
748 |
Total Medical Submitted Charge Amount |
764622.98 |
Total Medical Medicare Allowed Amount |
296311.62 |
Total Medical Medicare Payment Amount |
216461.42 |
Total Medical Medicare Standardized Payment Amount |
216418.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
236 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
446 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
567 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
128 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
622 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0946 |