National Provider Identifier [NPI]: |
1720074313 |
Last Name Of The Provider |
FAREED |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
751 W LEGION RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
BRAWLEY |
Zip Code Of The Provider |
922277754 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
6661 |
Number Of Medicare Beneficiaries |
1051 |
Total Submitted Charge Amount |
638136 |
Total Medicare Allowed Amount |
458778.56 |
Total Medicare Payment Amount |
337512.56 |
Total Medicare Standardized Payment Amount |
328905.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1891 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
24550 |
Total Drug Medicare AllowedAmount |
16608.89 |
Total Drug Medicare PaymentAmount |
12914.75 |
Total Drug Medicare Standardized Payment Amount |
12914.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4770 |
Number Of Medicare Beneficiaries With Medical Services |
1051 |
Total Medical Submitted Charge Amount |
613586 |
Total Medical Medicare Allowed Amount |
442169.67 |
Total Medical Medicare Payment Amount |
324597.81 |
Total Medical Medicare Standardized Payment Amount |
315990.54 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
388 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
567 |
Number Of Male Beneficiaries |
484 |
Number Of Non Hispanic White Beneficiaries |
423 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
577 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
518 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
533 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9776 |