National Provider Identifier [NPI]: |
1558377523 |
Last Name Of The Provider |
JAMAL |
First Name Of The Provider |
AAMIR |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1335 W CYPRESS AVE |
Street Address 2 Of The Provider |
SUITE# 205 |
City Of The Provider |
SAN DIMAS |
Zip Code Of The Provider |
917733537 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2944 |
Number Of Medicare Beneficiaries |
655 |
Total Submitted Charge Amount |
629270 |
Total Medicare Allowed Amount |
380333.98 |
Total Medicare Payment Amount |
295179.33 |
Total Medicare Standardized Payment Amount |
273887.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
97 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
2675 |
Total Drug Medicare AllowedAmount |
1249.59 |
Total Drug Medicare PaymentAmount |
1031.22 |
Total Drug Medicare Standardized Payment Amount |
1031.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2847 |
Number Of Medicare Beneficiaries With Medical Services |
653 |
Total Medical Submitted Charge Amount |
626595 |
Total Medical Medicare Allowed Amount |
379084.39 |
Total Medical Medicare Payment Amount |
294148.11 |
Total Medical Medicare Standardized Payment Amount |
272856.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
341 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
192 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
80 |
Number Of Hispanic Beneficiaries |
331 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
177 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
478 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
30 |
Average HCC Risk Score Of Beneficiaries |
5.6401 |