National Provider Identifier [NPI]: |
1013991041 |
Last Name Of The Provider |
ZAMIRI |
First Name Of The Provider |
BABAK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6180 BROCKTON AVE STE 204 |
Street Address 2 Of The Provider |
|
City Of The Provider |
RIVERSIDE |
Zip Code Of The Provider |
925062233 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
16862 |
Number Of Medicare Beneficiaries |
546 |
Total Submitted Charge Amount |
2252428.04 |
Total Medicare Allowed Amount |
1037700.46 |
Total Medicare Payment Amount |
802152.08 |
Total Medicare Standardized Payment Amount |
784770.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
12848 |
Number Of Medicare Beneficiaries With Drug Services |
281 |
Total Drug Submitted ChargeAmount |
1502703.04 |
Total Drug Medicare AllowedAmount |
746398.72 |
Total Drug Medicare PaymentAmount |
583799.59 |
Total Drug Medicare Standardized Payment Amount |
583799.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
4014 |
Number Of Medicare Beneficiaries With Medical Services |
546 |
Total Medical Submitted Charge Amount |
749725 |
Total Medical Medicare Allowed Amount |
291301.74 |
Total Medical Medicare Payment Amount |
218352.49 |
Total Medical Medicare Standardized Payment Amount |
200970.68 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
213 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
296 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
161 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
43 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2602 |