National Provider Identifier [NPI]: |
1407846397 |
Last Name Of The Provider |
YAGHMAI |
First Name Of The Provider |
BABAK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MEDICAL DOCTOR |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 W CALIFORNIA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911053010 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
180 |
Number Of Services |
8069 |
Number Of Medicare Beneficiaries |
1181 |
Total Submitted Charge Amount |
1175313.04 |
Total Medicare Allowed Amount |
284183.54 |
Total Medicare Payment Amount |
218926.02 |
Total Medicare Standardized Payment Amount |
199295.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
5902 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
8262.8 |
Total Drug Medicare AllowedAmount |
1124.79 |
Total Drug Medicare PaymentAmount |
881.78 |
Total Drug Medicare Standardized Payment Amount |
881.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
2167 |
Number Of Medicare Beneficiaries With Medical Services |
1181 |
Total Medical Submitted Charge Amount |
1167050.24 |
Total Medical Medicare Allowed Amount |
283058.75 |
Total Medical Medicare Payment Amount |
218044.24 |
Total Medical Medicare Standardized Payment Amount |
198413.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
377 |
Number Of Beneficiaries Age Greater 84 |
255 |
Number Of Female Beneficiaries |
706 |
Number Of Male Beneficiaries |
475 |
Number Of Non Hispanic White Beneficiaries |
670 |
Number Of Black or African American Beneficiaries |
130 |
Number Of AsianPacific Islander Beneficiaries |
119 |
Number Of Hispanic Beneficiaries |
227 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
721 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
460 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.7306 |