National Provider Identifier [NPI]: |
1891787354 |
Last Name Of The Provider |
NAZMI |
First Name Of The Provider |
PEYMAN |
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 |
14404 SOMMERVILLE CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDLOTHIAN |
Zip Code Of The Provider |
231136835 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
6064 |
Number Of Medicare Beneficiaries |
641 |
Total Submitted Charge Amount |
919099.99 |
Total Medicare Allowed Amount |
237184.8 |
Total Medicare Payment Amount |
178287.8 |
Total Medicare Standardized Payment Amount |
175110.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4037 |
Number Of Medicare Beneficiaries With Drug Services |
467 |
Total Drug Submitted ChargeAmount |
8590 |
Total Drug Medicare AllowedAmount |
1519.29 |
Total Drug Medicare PaymentAmount |
1183.65 |
Total Drug Medicare Standardized Payment Amount |
1183.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2027 |
Number Of Medicare Beneficiaries With Medical Services |
641 |
Total Medical Submitted Charge Amount |
910509.99 |
Total Medical Medicare Allowed Amount |
235665.51 |
Total Medical Medicare Payment Amount |
177104.15 |
Total Medical Medicare Standardized Payment Amount |
173926.65 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
405 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
517 |
Number Of Black or African American Beneficiaries |
107 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
560 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0789 |