National Provider Identifier [NPI]: |
1669674933 |
Last Name Of The Provider |
YOUNES |
First Name Of The Provider |
BASIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4305 TORRANCE BLVD |
Street Address 2 Of The Provider |
500 |
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
905034409 |
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 |
52 |
Number Of Services |
2686 |
Number Of Medicare Beneficiaries |
763 |
Total Submitted Charge Amount |
721004 |
Total Medicare Allowed Amount |
312956.75 |
Total Medicare Payment Amount |
244771.39 |
Total Medicare Standardized Payment Amount |
232819.66 |
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 |
52 |
Number Of Medical Services |
2686 |
Number Of Medicare Beneficiaries With Medical Services |
763 |
Total Medical Submitted Charge Amount |
721004 |
Total Medical Medicare Allowed Amount |
312956.75 |
Total Medical Medicare Payment Amount |
244771.39 |
Total Medical Medicare Standardized Payment Amount |
232819.66 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
316 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
247 |
Number Of AsianPacific Islander Beneficiaries |
92 |
Number Of Hispanic Beneficiaries |
132 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
376 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.5891 |