National Provider Identifier [NPI]: |
1346273497 |
Last Name Of The Provider |
KHALEELI |
First Name Of The Provider |
EMAD |
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 |
4305 TORRANCE BLVD |
Street Address 2 Of The Provider |
SUITE #301 |
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 |
41 |
Number Of Services |
5215 |
Number Of Medicare Beneficiaries |
976 |
Total Submitted Charge Amount |
756581 |
Total Medicare Allowed Amount |
274374.7 |
Total Medicare Payment Amount |
206400.81 |
Total Medicare Standardized Payment Amount |
200034.25 |
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 |
41 |
Number Of Medical Services |
5215 |
Number Of Medicare Beneficiaries With Medical Services |
976 |
Total Medical Submitted Charge Amount |
756581 |
Total Medical Medicare Allowed Amount |
274374.7 |
Total Medical Medicare Payment Amount |
206400.81 |
Total Medical Medicare Standardized Payment Amount |
200034.25 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
327 |
Number Of Beneficiaries Age Greater 84 |
303 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
422 |
Number Of Non Hispanic White Beneficiaries |
520 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
194 |
Number Of Hispanic Beneficiaries |
127 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
702 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
274 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.1639 |