National Provider Identifier [NPI]: |
1316148653 |
Last Name Of The Provider |
MARAYATI |
First Name Of The Provider |
FIRAS |
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 |
2141 E WARNER RD STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
TEMPE |
Zip Code Of The Provider |
852843493 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
4480 |
Number Of Medicare Beneficiaries |
912 |
Total Submitted Charge Amount |
705548 |
Total Medicare Allowed Amount |
352282.89 |
Total Medicare Payment Amount |
261557.29 |
Total Medicare Standardized Payment Amount |
272990.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1459 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
33557 |
Total Drug Medicare AllowedAmount |
16713.36 |
Total Drug Medicare PaymentAmount |
12817.83 |
Total Drug Medicare Standardized Payment Amount |
12817.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3021 |
Number Of Medicare Beneficiaries With Medical Services |
912 |
Total Medical Submitted Charge Amount |
671991 |
Total Medical Medicare Allowed Amount |
335569.53 |
Total Medical Medicare Payment Amount |
248739.46 |
Total Medical Medicare Standardized Payment Amount |
260172.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
312 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
432 |
Number Of Male Beneficiaries |
480 |
Number Of Non Hispanic White Beneficiaries |
717 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
83 |
Number Of American Indian Alaska Native Beneficiaries |
39 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
736 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
3.4666 |