National Provider Identifier [NPI]: |
1003816141 |
Last Name Of The Provider |
ATMAJIAN |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3030 N FRESNO ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937031124 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
24331 |
Number Of Medicare Beneficiaries |
903 |
Total Submitted Charge Amount |
750707 |
Total Medicare Allowed Amount |
579811.82 |
Total Medicare Payment Amount |
449839.52 |
Total Medicare Standardized Payment Amount |
432777.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
4461 |
Number Of Medicare Beneficiaries With Drug Services |
421 |
Total Drug Submitted ChargeAmount |
61055 |
Total Drug Medicare AllowedAmount |
38290.48 |
Total Drug Medicare PaymentAmount |
31532.74 |
Total Drug Medicare Standardized Payment Amount |
31532.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
19870 |
Number Of Medicare Beneficiaries With Medical Services |
903 |
Total Medical Submitted Charge Amount |
689652 |
Total Medical Medicare Allowed Amount |
541521.34 |
Total Medical Medicare Payment Amount |
418306.78 |
Total Medical Medicare Standardized Payment Amount |
401245.16 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
302 |
Number Of Beneficiaries Age 65 to 74 |
344 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
396 |
Number Of Non Hispanic White Beneficiaries |
198 |
Number Of Black or African American Beneficiaries |
140 |
Number Of AsianPacific Islander Beneficiaries |
180 |
Number Of Hispanic Beneficiaries |
362 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
48 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
855 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
72 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
62 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6139 |