National Provider Identifier [NPI]: |
1265656417 |
Last Name Of The Provider |
AMANI |
First Name Of The Provider |
FARIBA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
777 E HAWKEYE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
TURLOCK |
Zip Code Of The Provider |
953807506 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
4838 |
Number Of Medicare Beneficiaries |
1078 |
Total Submitted Charge Amount |
969700.51 |
Total Medicare Allowed Amount |
364066.7 |
Total Medicare Payment Amount |
274957.06 |
Total Medicare Standardized Payment Amount |
270517.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1099 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
18540.84 |
Total Drug Medicare AllowedAmount |
2971.56 |
Total Drug Medicare PaymentAmount |
2329.69 |
Total Drug Medicare Standardized Payment Amount |
2329.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3739 |
Number Of Medicare Beneficiaries With Medical Services |
1078 |
Total Medical Submitted Charge Amount |
951159.67 |
Total Medical Medicare Allowed Amount |
361095.14 |
Total Medical Medicare Payment Amount |
272627.37 |
Total Medical Medicare Standardized Payment Amount |
268187.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
190 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
314 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
591 |
Number Of Male Beneficiaries |
487 |
Number Of Non Hispanic White Beneficiaries |
615 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
360 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
557 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9178 |