National Provider Identifier [NPI]: |
1104820927 |
Last Name Of The Provider |
KOSAR |
First Name Of The Provider |
EROL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4201 TORRANCE BLVD |
Street Address 2 Of The Provider |
SUITE 560 |
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
90503 |
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 |
79 |
Number Of Services |
6308 |
Number Of Medicare Beneficiaries |
1417 |
Total Submitted Charge Amount |
3109054 |
Total Medicare Allowed Amount |
433241.28 |
Total Medicare Payment Amount |
325355 |
Total Medicare Standardized Payment Amount |
305175.48 |
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 |
79 |
Number Of Medical Services |
6308 |
Number Of Medicare Beneficiaries With Medical Services |
1417 |
Total Medical Submitted Charge Amount |
3109054 |
Total Medical Medicare Allowed Amount |
433241.28 |
Total Medical Medicare Payment Amount |
325355 |
Total Medical Medicare Standardized Payment Amount |
305175.48 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
412 |
Number Of Beneficiaries Age 75 to 84 |
480 |
Number Of Beneficiaries Age Greater 84 |
395 |
Number Of Female Beneficiaries |
704 |
Number Of Male Beneficiaries |
713 |
Number Of Non Hispanic White Beneficiaries |
867 |
Number Of Black or African American Beneficiaries |
136 |
Number Of AsianPacific Islander Beneficiaries |
178 |
Number Of Hispanic Beneficiaries |
192 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1026 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
391 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.1852 |