National Provider Identifier [NPI]: |
1891711065 |
Last Name Of The Provider |
ALIMADADIAN |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
113 WATERWORKS WAY |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
IRVINE |
Zip Code Of The Provider |
926183167 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
181 |
Number Of Medicare Beneficiaries |
44 |
Total Submitted Charge Amount |
30886 |
Total Medicare Allowed Amount |
8507.02 |
Total Medicare Payment Amount |
6339.1 |
Total Medicare Standardized Payment Amount |
5745.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
92 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
14960 |
Total Drug Medicare AllowedAmount |
1110.6 |
Total Drug Medicare PaymentAmount |
886.46 |
Total Drug Medicare Standardized Payment Amount |
886.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
5 |
Number Of Medical Services |
89 |
Number Of Medicare Beneficiaries With Medical Services |
44 |
Total Medical Submitted Charge Amount |
15926 |
Total Medical Medicare Allowed Amount |
7396.42 |
Total Medical Medicare Payment Amount |
5452.64 |
Total Medical Medicare Standardized Payment Amount |
4859.29 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
18 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
27 |
Number Of Male Beneficiaries |
17 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
13 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.187 |