National Provider Identifier [NPI]: |
1114991767 |
Last Name Of The Provider |
COHEN |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23101 SHERMAN PL |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
WEST HILLS |
Zip Code Of The Provider |
913072003 |
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 |
74 |
Number Of Services |
4129 |
Number Of Medicare Beneficiaries |
781 |
Total Submitted Charge Amount |
756835 |
Total Medicare Allowed Amount |
374296.68 |
Total Medicare Payment Amount |
279152.84 |
Total Medicare Standardized Payment Amount |
258550.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
468 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
28260 |
Total Drug Medicare AllowedAmount |
5428.45 |
Total Drug Medicare PaymentAmount |
4255.89 |
Total Drug Medicare Standardized Payment Amount |
4255.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3661 |
Number Of Medicare Beneficiaries With Medical Services |
781 |
Total Medical Submitted Charge Amount |
728575 |
Total Medical Medicare Allowed Amount |
368868.23 |
Total Medical Medicare Payment Amount |
274896.95 |
Total Medical Medicare Standardized Payment Amount |
254294.35 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
362 |
Number Of Male Beneficiaries |
419 |
Number Of Non Hispanic White Beneficiaries |
679 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
667 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6421 |