National Provider Identifier [NPI]: |
1285792762 |
Last Name Of The Provider |
AKIAN |
First Name Of The Provider |
ARET |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1711 W TEMPLE ST |
Street Address 2 Of The Provider |
SUITE 5662 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900265421 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1675 |
Number Of Medicare Beneficiaries |
212 |
Total Submitted Charge Amount |
243905 |
Total Medicare Allowed Amount |
157885.6 |
Total Medicare Payment Amount |
116544.21 |
Total Medicare Standardized Payment Amount |
100289.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
655 |
Total Drug Medicare AllowedAmount |
219.13 |
Total Drug Medicare PaymentAmount |
213.88 |
Total Drug Medicare Standardized Payment Amount |
213.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1648 |
Number Of Medicare Beneficiaries With Medical Services |
212 |
Total Medical Submitted Charge Amount |
243250 |
Total Medical Medicare Allowed Amount |
157666.47 |
Total Medical Medicare Payment Amount |
116330.33 |
Total Medical Medicare Standardized Payment Amount |
100075.3 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
42 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
108 |
Number Of Male Beneficiaries |
104 |
Number Of Non Hispanic White Beneficiaries |
72 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
15 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
42 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0534 |