National Provider Identifier [NPI]: |
1215909247 |
Last Name Of The Provider |
GARIBIAN |
First Name Of The Provider |
GARO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3401 N BROAD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191405103 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
4599 |
Number Of Medicare Beneficiaries |
1642 |
Total Submitted Charge Amount |
521795 |
Total Medicare Allowed Amount |
219406.47 |
Total Medicare Payment Amount |
159896.55 |
Total Medicare Standardized Payment Amount |
151606.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4599 |
Number Of Medicare Beneficiaries With Medical Services |
1642 |
Total Medical Submitted Charge Amount |
521795 |
Total Medical Medicare Allowed Amount |
219406.47 |
Total Medical Medicare Payment Amount |
159896.55 |
Total Medical Medicare Standardized Payment Amount |
151606.98 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
264 |
Number Of Beneficiaries Age 65 to 74 |
509 |
Number Of Beneficiaries Age 75 to 84 |
480 |
Number Of Beneficiaries Age Greater 84 |
389 |
Number Of Female Beneficiaries |
935 |
Number Of Male Beneficiaries |
707 |
Number Of Non Hispanic White Beneficiaries |
1304 |
Number Of Black or African American Beneficiaries |
149 |
Number Of AsianPacific Islander Beneficiaries |
52 |
Number Of Hispanic Beneficiaries |
105 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1192 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
450 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8541 |