National Provider Identifier [NPI]: |
1821145426 |
Last Name Of The Provider |
FARHANGFAR |
First Name Of The Provider |
KAMYAR |
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 |
2299 BACON ST STE 6 |
Street Address 2 Of The Provider |
|
City Of The Provider |
CONCORD |
Zip Code Of The Provider |
945202046 |
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 |
53 |
Number Of Services |
2297 |
Number Of Medicare Beneficiaries |
570 |
Total Submitted Charge Amount |
562351.75 |
Total Medicare Allowed Amount |
188993.3 |
Total Medicare Payment Amount |
135060.53 |
Total Medicare Standardized Payment Amount |
130156.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
208 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
12744.75 |
Total Drug Medicare AllowedAmount |
2990.56 |
Total Drug Medicare PaymentAmount |
2898.53 |
Total Drug Medicare Standardized Payment Amount |
2898.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2089 |
Number Of Medicare Beneficiaries With Medical Services |
569 |
Total Medical Submitted Charge Amount |
549607 |
Total Medical Medicare Allowed Amount |
186002.74 |
Total Medical Medicare Payment Amount |
132162 |
Total Medical Medicare Standardized Payment Amount |
127257.85 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
224 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
97 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
316 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
327 |
Number Of Black or African American Beneficiaries |
119 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
271 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3596 |