National Provider Identifier [NPI]: |
1740470855 |
Last Name Of The Provider |
ALIJANI |
First Name Of The Provider |
ATA |
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 |
1702ESPLANADE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICO |
Zip Code Of The Provider |
959263315 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
262 |
Number Of Services |
46072 |
Number Of Medicare Beneficiaries |
4986 |
Total Submitted Charge Amount |
2992796.5 |
Total Medicare Allowed Amount |
802476.02 |
Total Medicare Payment Amount |
613474.04 |
Total Medicare Standardized Payment Amount |
586155.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
38341 |
Number Of Medicare Beneficiaries With Drug Services |
783 |
Total Drug Submitted ChargeAmount |
99370.5 |
Total Drug Medicare AllowedAmount |
17282.81 |
Total Drug Medicare PaymentAmount |
13476.7 |
Total Drug Medicare Standardized Payment Amount |
13476.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
252 |
Number Of Medical Services |
7731 |
Number Of Medicare Beneficiaries With Medical Services |
4985 |
Total Medical Submitted Charge Amount |
2893426 |
Total Medical Medicare Allowed Amount |
785193.21 |
Total Medical Medicare Payment Amount |
599997.34 |
Total Medical Medicare Standardized Payment Amount |
572679.23 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
950 |
Number Of Beneficiaries Age 65 to 74 |
1810 |
Number Of Beneficiaries Age 75 to 84 |
1428 |
Number Of Beneficiaries Age Greater 84 |
798 |
Number Of Female Beneficiaries |
2806 |
Number Of Male Beneficiaries |
2180 |
Number Of Non Hispanic White Beneficiaries |
4425 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
69 |
Number Of Hispanic Beneficiaries |
308 |
Number Of American Indian Alaska Native Beneficiaries |
96 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
3470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1516 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6175 |