| National Provider Identifier [NPI]: | 1447288147 |
| Last Name Of The Provider | ABRISHAMI |
| First Name Of The Provider | PAYAM |
| 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 | 1901 W LUGONIA AVE |
| Street Address 2 Of The Provider | SUITE 310 |
| City Of The Provider | REDLANDS |
| Zip Code Of The Provider | 923749703 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 67 |
| Number Of Services | 21189 |
| Number Of Medicare Beneficiaries | 8309 |
| Total Submitted Charge Amount | 3729090.41 |
| Total Medicare Allowed Amount | 1626931.09 |
| Total Medicare Payment Amount | 1250386.26 |
| Total Medicare Standardized Payment Amount | 869724.02 |
| Drug Suppress Indicator | * |
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| Medical SuppressIndicator | # |
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| Number Of Medicare Beneficiaries With Medical Services | |
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| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 378 |
| Number Of Beneficiaries Age 65 to 74 | 3737 |
| Number Of Beneficiaries Age 75 to 84 | 3002 |
| Number Of Beneficiaries Age Greater 84 | 1192 |
| Number Of Female Beneficiaries | 3640 |
| Number Of Male Beneficiaries | 4669 |
| Number Of Non Hispanic White Beneficiaries | 7740 |
| Number Of Black or African American Beneficiaries | 69 |
| Number Of AsianPacific Islander Beneficiaries | 80 |
| Number Of Hispanic Beneficiaries | 290 |
| Number Of American Indian Alaska Native Beneficiaries | 22 |
| Number Of Beneficiaries With Race Not Else where Classified | 108 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7708 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 601 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 24 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 61 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0628 |