National Provider Identifier [NPI]: |
1316984248 |
Last Name Of The Provider |
MALEK |
First Name Of The Provider |
IRENE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D., |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 E 28TH ST |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
LONG BEACH |
Zip Code Of The Provider |
908062779 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
829 |
Number Of Medicare Beneficiaries |
142 |
Total Submitted Charge Amount |
198742 |
Total Medicare Allowed Amount |
84765.22 |
Total Medicare Payment Amount |
63868.36 |
Total Medicare Standardized Payment Amount |
59010.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
1831 |
Total Drug Medicare AllowedAmount |
419.39 |
Total Drug Medicare PaymentAmount |
353.24 |
Total Drug Medicare Standardized Payment Amount |
353.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
768 |
Number Of Medicare Beneficiaries With Medical Services |
142 |
Total Medical Submitted Charge Amount |
196911 |
Total Medical Medicare Allowed Amount |
84345.83 |
Total Medical Medicare Payment Amount |
63515.12 |
Total Medical Medicare Standardized Payment Amount |
58657.33 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
100 |
Number Of Male Beneficiaries |
42 |
Number Of Non Hispanic White Beneficiaries |
81 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
101 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
17 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3223 |