National Provider Identifier [NPI]: |
1285696476 |
Last Name Of The Provider |
MADYOON |
First Name Of The Provider |
HOOMAN |
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 |
99 N. LA CIENEGA BLVD. |
Street Address 2 Of The Provider |
#203 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902112222 |
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 |
205 |
Number Of Services |
60919 |
Number Of Medicare Beneficiaries |
1344 |
Total Submitted Charge Amount |
6445889 |
Total Medicare Allowed Amount |
1761275.26 |
Total Medicare Payment Amount |
1361709.63 |
Total Medicare Standardized Payment Amount |
1298917.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
54351 |
Number Of Medicare Beneficiaries With Drug Services |
667 |
Total Drug Submitted ChargeAmount |
404438 |
Total Drug Medicare AllowedAmount |
61413.64 |
Total Drug Medicare PaymentAmount |
48135.09 |
Total Drug Medicare Standardized Payment Amount |
48135.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
194 |
Number Of Medical Services |
6568 |
Number Of Medicare Beneficiaries With Medical Services |
1342 |
Total Medical Submitted Charge Amount |
6041451 |
Total Medical Medicare Allowed Amount |
1699861.62 |
Total Medical Medicare Payment Amount |
1313574.54 |
Total Medical Medicare Standardized Payment Amount |
1250782.18 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
601 |
Number Of Beneficiaries Age 75 to 84 |
456 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
651 |
Number Of Male Beneficiaries |
693 |
Number Of Non Hispanic White Beneficiaries |
985 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
104 |
Number Of Hispanic Beneficiaries |
90 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
64 |
Number Of Beneficiaries With Medicare Only Entitlement |
852 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
492 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.533 |