National Provider Identifier [NPI]: |
1659340339 |
Last Name Of The Provider |
AZIZ |
First Name Of The Provider |
HANY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3805 SAN DIMAS ST STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933015725 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3686 |
Number Of Medicare Beneficiaries |
782 |
Total Submitted Charge Amount |
1351658 |
Total Medicare Allowed Amount |
363246.34 |
Total Medicare Payment Amount |
278133.29 |
Total Medicare Standardized Payment Amount |
272079.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
3625 |
Total Drug Medicare AllowedAmount |
103.26 |
Total Drug Medicare PaymentAmount |
69.74 |
Total Drug Medicare Standardized Payment Amount |
69.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3628 |
Number Of Medicare Beneficiaries With Medical Services |
782 |
Total Medical Submitted Charge Amount |
1348033 |
Total Medical Medicare Allowed Amount |
363143.08 |
Total Medical Medicare Payment Amount |
278063.55 |
Total Medical Medicare Standardized Payment Amount |
272010.02 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
235 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
394 |
Number Of Non Hispanic White Beneficiaries |
449 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
235 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
512 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.5709 |