National Provider Identifier [NPI]: |
1487620258 |
Last Name Of The Provider |
SADEGHI-NAJAFABADI |
First Name Of The Provider |
FARSHID |
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 |
20201 N SCOTTSDALE HEALTHCARE DR |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852554134 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
3958.5 |
Number Of Medicare Beneficiaries |
713 |
Total Submitted Charge Amount |
755174.76 |
Total Medicare Allowed Amount |
355976.71 |
Total Medicare Payment Amount |
271989.25 |
Total Medicare Standardized Payment Amount |
275894.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
738.5 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
81172.96 |
Total Drug Medicare AllowedAmount |
42541.83 |
Total Drug Medicare PaymentAmount |
33349.66 |
Total Drug Medicare Standardized Payment Amount |
33349.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
3220 |
Number Of Medicare Beneficiaries With Medical Services |
713 |
Total Medical Submitted Charge Amount |
674001.8 |
Total Medical Medicare Allowed Amount |
313434.88 |
Total Medical Medicare Payment Amount |
238639.59 |
Total Medical Medicare Standardized Payment Amount |
242545.06 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
488 |
Number Of Non Hispanic White Beneficiaries |
660 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
681 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
28 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1189 |