National Provider Identifier [NPI]: |
1427150952 |
Last Name Of The Provider |
BALIAN |
First Name Of The Provider |
HARRY |
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 |
660 W BROADWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
912041008 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
7151 |
Number Of Medicare Beneficiaries |
1756 |
Total Submitted Charge Amount |
2160326.4 |
Total Medicare Allowed Amount |
1230094.44 |
Total Medicare Payment Amount |
950040.95 |
Total Medicare Standardized Payment Amount |
863507.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
556 |
Number Of Medicare Beneficiaries With Drug Services |
139 |
Total Drug Submitted ChargeAmount |
114758.4 |
Total Drug Medicare AllowedAmount |
29434 |
Total Drug Medicare PaymentAmount |
23076.14 |
Total Drug Medicare Standardized Payment Amount |
23076.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
6595 |
Number Of Medicare Beneficiaries With Medical Services |
1756 |
Total Medical Submitted Charge Amount |
2045568 |
Total Medical Medicare Allowed Amount |
1200660.44 |
Total Medical Medicare Payment Amount |
926964.81 |
Total Medical Medicare Standardized Payment Amount |
840431.83 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
714 |
Number Of Beneficiaries Age 75 to 84 |
623 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
827 |
Number Of Male Beneficiaries |
929 |
Number Of Non Hispanic White Beneficiaries |
1249 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
125 |
Number Of Hispanic Beneficiaries |
181 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
172 |
Number Of Beneficiaries With Medicare Only Entitlement |
195 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1561 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9238 |