National Provider Identifier [NPI]: |
1437322971 |
Last Name Of The Provider |
MEHDI |
First Name Of The Provider |
SHEHERBANO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23441 MADISON ST |
Street Address 2 Of The Provider |
SUITE #340 |
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
905054725 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
8019 |
Number Of Medicare Beneficiaries |
342 |
Total Submitted Charge Amount |
481827 |
Total Medicare Allowed Amount |
348408.43 |
Total Medicare Payment Amount |
265699.16 |
Total Medicare Standardized Payment Amount |
252110.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
5052 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
233565 |
Total Drug Medicare AllowedAmount |
173288.65 |
Total Drug Medicare PaymentAmount |
135574.91 |
Total Drug Medicare Standardized Payment Amount |
135574.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
2967 |
Number Of Medicare Beneficiaries With Medical Services |
342 |
Total Medical Submitted Charge Amount |
248262 |
Total Medical Medicare Allowed Amount |
175119.78 |
Total Medical Medicare Payment Amount |
130124.25 |
Total Medical Medicare Standardized Payment Amount |
116535.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
276 |
Number Of Male Beneficiaries |
66 |
Number Of Non Hispanic White Beneficiaries |
253 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
329 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1824 |