National Provider Identifier [NPI]: |
1306986773 |
Last Name Of The Provider |
MASSROUR |
First Name Of The Provider |
MAZIAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2705 S ALMA SCHOOL RD |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852864400 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
8654 |
Number Of Medicare Beneficiaries |
363 |
Total Submitted Charge Amount |
857599.5 |
Total Medicare Allowed Amount |
329372.09 |
Total Medicare Payment Amount |
247316.02 |
Total Medicare Standardized Payment Amount |
237370.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
6407 |
Number Of Medicare Beneficiaries With Drug Services |
279 |
Total Drug Submitted ChargeAmount |
31484 |
Total Drug Medicare AllowedAmount |
2545.54 |
Total Drug Medicare PaymentAmount |
1920.28 |
Total Drug Medicare Standardized Payment Amount |
1920.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2247 |
Number Of Medicare Beneficiaries With Medical Services |
363 |
Total Medical Submitted Charge Amount |
826115.5 |
Total Medical Medicare Allowed Amount |
326826.55 |
Total Medical Medicare Payment Amount |
245395.74 |
Total Medical Medicare Standardized Payment Amount |
235449.74 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
307 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
329 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0544 |