National Provider Identifier [NPI]: |
1518960491 |
Last Name Of The Provider |
ZARINETCHI |
First Name Of The Provider |
FARIBA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1521 S STAPLES ST |
Street Address 2 Of The Provider |
STE 601 |
City Of The Provider |
CORPUS CHRISTI |
Zip Code Of The Provider |
784043154 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
3100 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
646755 |
Total Medicare Allowed Amount |
348523.11 |
Total Medicare Payment Amount |
264130.06 |
Total Medicare Standardized Payment Amount |
276847.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
11 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
220 |
Total Drug Medicare AllowedAmount |
132.44 |
Total Drug Medicare PaymentAmount |
129.8 |
Total Drug Medicare Standardized Payment Amount |
129.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3089 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
646535 |
Total Medical Medicare Allowed Amount |
348390.67 |
Total Medical Medicare Payment Amount |
264000.26 |
Total Medical Medicare Standardized Payment Amount |
276717.22 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
330 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
391 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
232 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
460 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
356 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
6.0443 |