National Provider Identifier [NPI]: |
1881886042 |
Last Name Of The Provider |
SABAHI |
First Name Of The Provider |
IRAJ |
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 |
2161 COLORADO AVE |
Street Address 2 Of The Provider |
SUITE A2 |
City Of The Provider |
TURLOCK |
Zip Code Of The Provider |
953822007 |
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 |
36 |
Number Of Services |
3660 |
Number Of Medicare Beneficiaries |
239 |
Total Submitted Charge Amount |
385710.2 |
Total Medicare Allowed Amount |
166321.34 |
Total Medicare Payment Amount |
129648.36 |
Total Medicare Standardized Payment Amount |
139437.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1972 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
63260.2 |
Total Drug Medicare AllowedAmount |
18987.51 |
Total Drug Medicare PaymentAmount |
14885.65 |
Total Drug Medicare Standardized Payment Amount |
14885.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1688 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
322450 |
Total Medical Medicare Allowed Amount |
147333.83 |
Total Medical Medicare Payment Amount |
114762.71 |
Total Medical Medicare Standardized Payment Amount |
124552.05 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
50 |
Number Of Non Hispanic White Beneficiaries |
154 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
129 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
110 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
31 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.383 |