National Provider Identifier [NPI]: |
1013954957 |
Last Name Of The Provider |
WARWAR |
First Name Of The Provider |
JIHAD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
72 N BRENT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
VENTURA |
Zip Code Of The Provider |
930032808 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
7995 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
411477.67 |
Total Medicare Allowed Amount |
396763.24 |
Total Medicare Payment Amount |
298624.53 |
Total Medicare Standardized Payment Amount |
282178.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
624 |
Number Of Medicare Beneficiaries With Drug Services |
312 |
Total Drug Submitted ChargeAmount |
22886.67 |
Total Drug Medicare AllowedAmount |
13993.43 |
Total Drug Medicare PaymentAmount |
13591.86 |
Total Drug Medicare Standardized Payment Amount |
13591.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
7371 |
Number Of Medicare Beneficiaries With Medical Services |
429 |
Total Medical Submitted Charge Amount |
388591 |
Total Medical Medicare Allowed Amount |
382769.81 |
Total Medical Medicare Payment Amount |
285032.67 |
Total Medical Medicare Standardized Payment Amount |
268587.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
241 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
389 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9449 |