| National Provider Identifier [NPI]: | 1760564272 |
| Last Name Of The Provider | AYVAZIAN |
| First Name Of The Provider | HERMOZ |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | DPM |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1030 S GLENDALE AVE |
| Street Address 2 Of The Provider | SUITE 403 |
| City Of The Provider | GLENDALE |
| Zip Code Of The Provider | 912055612 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Podiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 144 |
| Number Of Services | 20054 |
| Number Of Medicare Beneficiaries | 1675 |
| Total Submitted Charge Amount | 2712719 |
| Total Medicare Allowed Amount | 1281903.86 |
| Total Medicare Payment Amount | 996760.07 |
| Total Medicare Standardized Payment Amount | 905266.88 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2689 |
| Number Of Medicare Beneficiaries With Drug Services | 371 |
| Total Drug Submitted ChargeAmount | 42660 |
| Total Drug Medicare AllowedAmount | 2901.49 |
| Total Drug Medicare PaymentAmount | 2265.11 |
| Total Drug Medicare Standardized Payment Amount | 2265.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 141 |
| Number Of Medical Services | 17365 |
| Number Of Medicare Beneficiaries With Medical Services | 1675 |
| Total Medical Submitted Charge Amount | 2670059 |
| Total Medical Medicare Allowed Amount | 1279002.37 |
| Total Medical Medicare Payment Amount | 994494.96 |
| Total Medical Medicare Standardized Payment Amount | 903001.77 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 152 |
| Number Of Beneficiaries Age 65 to 74 | 555 |
| Number Of Beneficiaries Age 75 to 84 | 609 |
| Number Of Beneficiaries Age Greater 84 | 359 |
| Number Of Female Beneficiaries | 1018 |
| Number Of Male Beneficiaries | 657 |
| Number Of Non Hispanic White Beneficiaries | 1234 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 135 |
| Number Of Hispanic Beneficiaries | 178 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 95 |
| Number Of Beneficiaries With Medicare Only Entitlement | 195 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1480 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 28 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 8 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 32 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 59 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 67 |
| Percent Of With Osteoporosis | 15 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 68 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 2 |