National Provider Identifier [NPI]: |
1073604294 |
Last Name Of The Provider |
LOTFI |
First Name Of The Provider |
KARAN |
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 |
21785 FILIGREE COURT |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
ASHBURN |
Zip Code Of The Provider |
20147 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
172 |
Number Of Services |
4356 |
Number Of Medicare Beneficiaries |
1572 |
Total Submitted Charge Amount |
989443 |
Total Medicare Allowed Amount |
238585.02 |
Total Medicare Payment Amount |
182227.61 |
Total Medicare Standardized Payment Amount |
170449.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1723 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
5492 |
Total Drug Medicare AllowedAmount |
2204.22 |
Total Drug Medicare PaymentAmount |
1671.37 |
Total Drug Medicare Standardized Payment Amount |
1671.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
170 |
Number Of Medical Services |
2633 |
Number Of Medicare Beneficiaries With Medical Services |
1572 |
Total Medical Submitted Charge Amount |
983951 |
Total Medical Medicare Allowed Amount |
236380.8 |
Total Medical Medicare Payment Amount |
180556.24 |
Total Medical Medicare Standardized Payment Amount |
168778.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
739 |
Number Of Beneficiaries Age 75 to 84 |
488 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
1003 |
Number Of Male Beneficiaries |
569 |
Number Of Non Hispanic White Beneficiaries |
1185 |
Number Of Black or African American Beneficiaries |
121 |
Number Of AsianPacific Islander Beneficiaries |
145 |
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1368 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.2675 |