National Provider Identifier [NPI]: |
1750483327 |
Last Name Of The Provider |
KURDI |
First Name Of The Provider |
BACHAR |
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 |
11100 WARNER AVE |
Street Address 2 Of The Provider |
SUITE 254 |
City Of The Provider |
FOUNTAIN VALLEY |
Zip Code Of The Provider |
927087506 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
8864 |
Number Of Medicare Beneficiaries |
496 |
Total Submitted Charge Amount |
2265639 |
Total Medicare Allowed Amount |
1134788.24 |
Total Medicare Payment Amount |
882105.38 |
Total Medicare Standardized Payment Amount |
811346.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
352 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
12990 |
Total Drug Medicare AllowedAmount |
3399.59 |
Total Drug Medicare PaymentAmount |
3126.23 |
Total Drug Medicare Standardized Payment Amount |
3126.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
8512 |
Number Of Medicare Beneficiaries With Medical Services |
496 |
Total Medical Submitted Charge Amount |
2252649 |
Total Medical Medicare Allowed Amount |
1131388.65 |
Total Medical Medicare Payment Amount |
878979.15 |
Total Medical Medicare Standardized Payment Amount |
808220.11 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
259 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
222 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
100 |
Number Of Hispanic Beneficiaries |
150 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
167 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
329 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
67 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.8828 |