National Provider Identifier [NPI]: |
1376590471 |
Last Name Of The Provider |
HOURIANI |
First Name Of The Provider |
FARHAD |
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 |
18344 CLARK STREET |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
TARZANA |
Zip Code Of The Provider |
91356 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
213 |
Number Of Services |
10570 |
Number Of Medicare Beneficiaries |
3444 |
Total Submitted Charge Amount |
1282055.54 |
Total Medicare Allowed Amount |
277851.84 |
Total Medicare Payment Amount |
211531.99 |
Total Medicare Standardized Payment Amount |
198677.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4199 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
15844.64 |
Total Drug Medicare AllowedAmount |
1630.79 |
Total Drug Medicare PaymentAmount |
1268.33 |
Total Drug Medicare Standardized Payment Amount |
1268.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
210 |
Number Of Medical Services |
6371 |
Number Of Medicare Beneficiaries With Medical Services |
3444 |
Total Medical Submitted Charge Amount |
1266210.9 |
Total Medical Medicare Allowed Amount |
276221.05 |
Total Medical Medicare Payment Amount |
210263.66 |
Total Medical Medicare Standardized Payment Amount |
197409.15 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
316 |
Number Of Beneficiaries Age 65 to 74 |
892 |
Number Of Beneficiaries Age 75 to 84 |
1111 |
Number Of Beneficiaries Age Greater 84 |
1125 |
Number Of Female Beneficiaries |
1956 |
Number Of Male Beneficiaries |
1488 |
Number Of Non Hispanic White Beneficiaries |
2263 |
Number Of Black or African American Beneficiaries |
222 |
Number Of AsianPacific Islander Beneficiaries |
410 |
Number Of Hispanic Beneficiaries |
449 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1809 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1635 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.4138 |