National Provider Identifier [NPI]: |
1225064884 |
Last Name Of The Provider |
COHAN |
First Name Of The Provider |
PEJMAN |
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 |
150 N ROBERTSON BLVD |
Street Address 2 Of The Provider |
SUITE 210 AND 115 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902112142 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
5891 |
Number Of Medicare Beneficiaries |
391 |
Total Submitted Charge Amount |
447850 |
Total Medicare Allowed Amount |
212493.81 |
Total Medicare Payment Amount |
168245.4 |
Total Medicare Standardized Payment Amount |
160779.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
375 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
14275 |
Total Drug Medicare AllowedAmount |
10832.93 |
Total Drug Medicare PaymentAmount |
8492.98 |
Total Drug Medicare Standardized Payment Amount |
8492.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
5516 |
Number Of Medicare Beneficiaries With Medical Services |
391 |
Total Medical Submitted Charge Amount |
433575 |
Total Medical Medicare Allowed Amount |
201660.88 |
Total Medical Medicare Payment Amount |
159752.42 |
Total Medical Medicare Standardized Payment Amount |
152286.36 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
118 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
239 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
316 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
360 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
41 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4481 |