National Provider Identifier [NPI]: |
1396740627 |
Last Name Of The Provider |
ALAZIZ |
First Name Of The Provider |
ATIF |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18370 BURBANK BLVD |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
TARZANA |
Zip Code Of The Provider |
913562831 |
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 |
111 |
Number Of Services |
85133 |
Number Of Medicare Beneficiaries |
916 |
Total Submitted Charge Amount |
4518660 |
Total Medicare Allowed Amount |
1967539.73 |
Total Medicare Payment Amount |
1717878.29 |
Total Medicare Standardized Payment Amount |
1693016.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
1434 |
Number Of Medicare Beneficiaries With Drug Services |
580 |
Total Drug Submitted ChargeAmount |
53552 |
Total Drug Medicare AllowedAmount |
26363.52 |
Total Drug Medicare PaymentAmount |
25305.19 |
Total Drug Medicare Standardized Payment Amount |
25305.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
83699 |
Number Of Medicare Beneficiaries With Medical Services |
916 |
Total Medical Submitted Charge Amount |
4465108 |
Total Medical Medicare Allowed Amount |
1941176.21 |
Total Medical Medicare Payment Amount |
1692573.1 |
Total Medical Medicare Standardized Payment Amount |
1667711.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
422 |
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
401 |
Number Of Non Hispanic White Beneficiaries |
855 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
855 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3647 |