National Provider Identifier [NPI]: |
1831361583 |
Last Name Of The Provider |
SALMASSI |
First Name Of The Provider |
SADEGH |
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 |
719 MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DELANO |
Zip Code Of The Provider |
932152935 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3054 |
Number Of Medicare Beneficiaries |
310 |
Total Submitted Charge Amount |
429518.61 |
Total Medicare Allowed Amount |
297904.31 |
Total Medicare Payment Amount |
211486.84 |
Total Medicare Standardized Payment Amount |
220391.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
408 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
44139 |
Total Drug Medicare AllowedAmount |
30295.01 |
Total Drug Medicare PaymentAmount |
23761.71 |
Total Drug Medicare Standardized Payment Amount |
23761.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2646 |
Number Of Medicare Beneficiaries With Medical Services |
310 |
Total Medical Submitted Charge Amount |
385379.61 |
Total Medical Medicare Allowed Amount |
267609.3 |
Total Medical Medicare Payment Amount |
187725.13 |
Total Medical Medicare Standardized Payment Amount |
196629.97 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
72 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
201 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
98 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3577 |