National Provider Identifier [NPI]: |
1043246572 |
Last Name Of The Provider |
NOORI |
First Name Of The Provider |
ARSHIA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8631 W 3RD ST |
Street Address 2 Of The Provider |
SUITE 610E |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900485901 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
4315 |
Number Of Medicare Beneficiaries |
1602 |
Total Submitted Charge Amount |
1131843 |
Total Medicare Allowed Amount |
381443.99 |
Total Medicare Payment Amount |
289406.14 |
Total Medicare Standardized Payment Amount |
269304.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
99 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
13475 |
Total Drug Medicare AllowedAmount |
4689.04 |
Total Drug Medicare PaymentAmount |
3676.16 |
Total Drug Medicare Standardized Payment Amount |
3676.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
4216 |
Number Of Medicare Beneficiaries With Medical Services |
1602 |
Total Medical Submitted Charge Amount |
1118368 |
Total Medical Medicare Allowed Amount |
376754.95 |
Total Medical Medicare Payment Amount |
285729.98 |
Total Medical Medicare Standardized Payment Amount |
265628.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
336 |
Number Of Beneficiaries Age 65 to 74 |
420 |
Number Of Beneficiaries Age 75 to 84 |
453 |
Number Of Beneficiaries Age Greater 84 |
393 |
Number Of Female Beneficiaries |
856 |
Number Of Male Beneficiaries |
746 |
Number Of Non Hispanic White Beneficiaries |
573 |
Number Of Black or African American Beneficiaries |
590 |
Number Of AsianPacific Islander Beneficiaries |
130 |
Number Of Hispanic Beneficiaries |
267 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
417 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1185 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
29 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.9136 |