National Provider Identifier [NPI]: |
1124117452 |
Last Name Of The Provider |
KASHANI |
First Name Of The Provider |
HOOMAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16133 VENTURA BLVD |
Street Address 2 Of The Provider |
SUITE 360 |
City Of The Provider |
ENCINO |
Zip Code Of The Provider |
914362426 |
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 |
76 |
Number Of Services |
18564 |
Number Of Medicare Beneficiaries |
830 |
Total Submitted Charge Amount |
1082213 |
Total Medicare Allowed Amount |
831003.89 |
Total Medicare Payment Amount |
648308.47 |
Total Medicare Standardized Payment Amount |
610980.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
9650 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
10530 |
Total Drug Medicare AllowedAmount |
7196.13 |
Total Drug Medicare PaymentAmount |
5675.47 |
Total Drug Medicare Standardized Payment Amount |
5675.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
8914 |
Number Of Medicare Beneficiaries With Medical Services |
830 |
Total Medical Submitted Charge Amount |
1071683 |
Total Medical Medicare Allowed Amount |
823807.76 |
Total Medical Medicare Payment Amount |
642633 |
Total Medical Medicare Standardized Payment Amount |
605304.69 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
223 |
Number Of Beneficiaries Age Greater 84 |
278 |
Number Of Female Beneficiaries |
429 |
Number Of Male Beneficiaries |
401 |
Number Of Non Hispanic White Beneficiaries |
586 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
127 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
519 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
53 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
33 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.7591 |