National Provider Identifier [NPI]: |
1538378765 |
Last Name Of The Provider |
SARABI |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 AVOCADO AVE |
Street Address 2 Of The Provider |
SUITE 403 |
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926607720 |
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 |
35 |
Number Of Services |
3931 |
Number Of Medicare Beneficiaries |
625 |
Total Submitted Charge Amount |
976192.02 |
Total Medicare Allowed Amount |
456733.06 |
Total Medicare Payment Amount |
345395.27 |
Total Medicare Standardized Payment Amount |
309641.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
452 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
67998.2 |
Total Drug Medicare AllowedAmount |
12323.71 |
Total Drug Medicare PaymentAmount |
9537.71 |
Total Drug Medicare Standardized Payment Amount |
9537.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3479 |
Number Of Medicare Beneficiaries With Medical Services |
625 |
Total Medical Submitted Charge Amount |
908193.82 |
Total Medical Medicare Allowed Amount |
444409.35 |
Total Medical Medicare Payment Amount |
335857.56 |
Total Medical Medicare Standardized Payment Amount |
300104.08 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
354 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
546 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
568 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2991 |