National Provider Identifier [NPI]: |
1942496211 |
Last Name Of The Provider |
ARIANI |
First Name Of The Provider |
MEHRDAD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18350 ROSCOE BL |
Street Address 2 Of The Provider |
#400 |
City Of The Provider |
NORTHRIDGE |
Zip Code Of The Provider |
91325 |
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 |
95 |
Number Of Services |
5318 |
Number Of Medicare Beneficiaries |
1105 |
Total Submitted Charge Amount |
1467875 |
Total Medicare Allowed Amount |
686045.09 |
Total Medicare Payment Amount |
510189.22 |
Total Medicare Standardized Payment Amount |
469607.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
408 |
Number Of Medicare Beneficiaries With Drug Services |
122 |
Total Drug Submitted ChargeAmount |
46175 |
Total Drug Medicare AllowedAmount |
19339.55 |
Total Drug Medicare PaymentAmount |
15282.81 |
Total Drug Medicare Standardized Payment Amount |
15282.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
4910 |
Number Of Medicare Beneficiaries With Medical Services |
1105 |
Total Medical Submitted Charge Amount |
1421700 |
Total Medical Medicare Allowed Amount |
666705.54 |
Total Medical Medicare Payment Amount |
494906.41 |
Total Medical Medicare Standardized Payment Amount |
454324.71 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
393 |
Number Of Beneficiaries Age Greater 84 |
288 |
Number Of Female Beneficiaries |
584 |
Number Of Male Beneficiaries |
521 |
Number Of Non Hispanic White Beneficiaries |
702 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
190 |
Number Of Hispanic Beneficiaries |
145 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
518 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
587 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9724 |