National Provider Identifier [NPI]: |
1043245624 |
Last Name Of The Provider |
KASHANI |
First Name Of The Provider |
ALI |
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 |
436 N ROXBURY DR |
Street Address 2 Of The Provider |
114 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902105026 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
3671 |
Number Of Medicare Beneficiaries |
569 |
Total Submitted Charge Amount |
678303 |
Total Medicare Allowed Amount |
315712.84 |
Total Medicare Payment Amount |
246565.81 |
Total Medicare Standardized Payment Amount |
228422.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
3671 |
Number Of Medicare Beneficiaries With Medical Services |
569 |
Total Medical Submitted Charge Amount |
678303 |
Total Medical Medicare Allowed Amount |
315712.84 |
Total Medical Medicare Payment Amount |
246565.81 |
Total Medical Medicare Standardized Payment Amount |
228422.51 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
247 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
98 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
471 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
56 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
27 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.7221 |