National Provider Identifier [NPI]: |
1497817332 |
Last Name Of The Provider |
AKHAVAN |
First Name Of The Provider |
MEHRAS |
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 |
4940 VAN NUYS BLVD STE 301 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHERMAN OAKS |
Zip Code Of The Provider |
914031742 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
2573 |
Number Of Medicare Beneficiaries |
232 |
Total Submitted Charge Amount |
318890 |
Total Medicare Allowed Amount |
127850.73 |
Total Medicare Payment Amount |
99521.65 |
Total Medicare Standardized Payment Amount |
90811.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1294 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
16940 |
Total Drug Medicare AllowedAmount |
8511.86 |
Total Drug Medicare PaymentAmount |
6673.61 |
Total Drug Medicare Standardized Payment Amount |
6673.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1279 |
Number Of Medicare Beneficiaries With Medical Services |
232 |
Total Medical Submitted Charge Amount |
301950 |
Total Medical Medicare Allowed Amount |
119338.87 |
Total Medical Medicare Payment Amount |
92848.04 |
Total Medical Medicare Standardized Payment Amount |
84137.75 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
147 |
Number Of Male Beneficiaries |
85 |
Number Of Non Hispanic White Beneficiaries |
127 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
54 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
27 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.658 |