National Provider Identifier [NPI]: |
1609873850 |
Last Name Of The Provider |
BABAJANIAN |
First Name Of The Provider |
MASIS |
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 |
3536 MENDOCINO AVE |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
SANTA ROSA |
Zip Code Of The Provider |
954033634 |
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 |
97 |
Number Of Services |
7680 |
Number Of Medicare Beneficiaries |
2049 |
Total Submitted Charge Amount |
2117354.34 |
Total Medicare Allowed Amount |
860165.63 |
Total Medicare Payment Amount |
652305.16 |
Total Medicare Standardized Payment Amount |
631963.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
724 |
Number Of Medicare Beneficiaries With Drug Services |
183 |
Total Drug Submitted ChargeAmount |
72080 |
Total Drug Medicare AllowedAmount |
38145.88 |
Total Drug Medicare PaymentAmount |
28875.23 |
Total Drug Medicare Standardized Payment Amount |
28875.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
6956 |
Number Of Medicare Beneficiaries With Medical Services |
2049 |
Total Medical Submitted Charge Amount |
2045274.34 |
Total Medical Medicare Allowed Amount |
822019.75 |
Total Medical Medicare Payment Amount |
623429.93 |
Total Medical Medicare Standardized Payment Amount |
603088.61 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
214 |
Number Of Beneficiaries Age 65 to 74 |
766 |
Number Of Beneficiaries Age 75 to 84 |
618 |
Number Of Beneficiaries Age Greater 84 |
451 |
Number Of Female Beneficiaries |
993 |
Number Of Male Beneficiaries |
1056 |
Number Of Non Hispanic White Beneficiaries |
1821 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
126 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1592 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
457 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5151 |