National Provider Identifier [NPI]: |
1962460501 |
Last Name Of The Provider |
ELIAS |
First Name Of The Provider |
ZOUHEIR |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18350 ROSCOE BLVD |
Street Address 2 Of The Provider |
#401 |
City Of The Provider |
NORTHRIDGE |
Zip Code Of The Provider |
913254169 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
11798 |
Number Of Medicare Beneficiaries |
1577 |
Total Submitted Charge Amount |
3364255 |
Total Medicare Allowed Amount |
1321054.82 |
Total Medicare Payment Amount |
1010342.98 |
Total Medicare Standardized Payment Amount |
936765.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1412 |
Number Of Medicare Beneficiaries With Drug Services |
348 |
Total Drug Submitted ChargeAmount |
176500 |
Total Drug Medicare AllowedAmount |
74789.73 |
Total Drug Medicare PaymentAmount |
57303.64 |
Total Drug Medicare Standardized Payment Amount |
57303.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
10386 |
Number Of Medicare Beneficiaries With Medical Services |
1577 |
Total Medical Submitted Charge Amount |
3187755 |
Total Medical Medicare Allowed Amount |
1246265.09 |
Total Medical Medicare Payment Amount |
953039.34 |
Total Medical Medicare Standardized Payment Amount |
879461.94 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
132 |
Number Of Beneficiaries Age 65 to 74 |
486 |
Number Of Beneficiaries Age 75 to 84 |
590 |
Number Of Beneficiaries Age Greater 84 |
369 |
Number Of Female Beneficiaries |
768 |
Number Of Male Beneficiaries |
809 |
Number Of Non Hispanic White Beneficiaries |
1081 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
130 |
Number Of Hispanic Beneficiaries |
261 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
880 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
697 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
65 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0548 |