National Provider Identifier [NPI]: |
1134109390 |
Last Name Of The Provider |
PAZIRANDEH |
First Name Of The Provider |
MAHMOOD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD, FACP, FACR |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3633 CAMINO DEL RIO S |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921084011 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2379 |
Number Of Medicare Beneficiaries |
174 |
Total Submitted Charge Amount |
408311.03 |
Total Medicare Allowed Amount |
191765.12 |
Total Medicare Payment Amount |
145713.8 |
Total Medicare Standardized Payment Amount |
138980.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
543 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
67315.03 |
Total Drug Medicare AllowedAmount |
22081.68 |
Total Drug Medicare PaymentAmount |
17029.24 |
Total Drug Medicare Standardized Payment Amount |
17029.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1836 |
Number Of Medicare Beneficiaries With Medical Services |
173 |
Total Medical Submitted Charge Amount |
340996 |
Total Medical Medicare Allowed Amount |
169683.44 |
Total Medical Medicare Payment Amount |
128684.56 |
Total Medical Medicare Standardized Payment Amount |
121951.63 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
78 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
134 |
Number Of Male Beneficiaries |
40 |
Number Of Non Hispanic White Beneficiaries |
73 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
77 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
49 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4284 |