National Provider Identifier [NPI]: |
1730262122 |
Last Name Of The Provider |
SHIRINIAN |
First Name Of The Provider |
MIHRAN |
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 |
1505 WILSON TERRACE |
Street Address 2 Of The Provider |
SUITE 340 |
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
91206 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
88923 |
Number Of Medicare Beneficiaries |
506 |
Total Submitted Charge Amount |
2707859.17 |
Total Medicare Allowed Amount |
1372919.17 |
Total Medicare Payment Amount |
1078007.08 |
Total Medicare Standardized Payment Amount |
1030862.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
47 |
Number Of Drug Services |
75710 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
1604994.17 |
Total Drug Medicare AllowedAmount |
790407.78 |
Total Drug Medicare PaymentAmount |
619352.4 |
Total Drug Medicare Standardized Payment Amount |
619352.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
13213 |
Number Of Medicare Beneficiaries With Medical Services |
506 |
Total Medical Submitted Charge Amount |
1102865 |
Total Medical Medicare Allowed Amount |
582511.39 |
Total Medical Medicare Payment Amount |
458654.68 |
Total Medical Medicare Standardized Payment Amount |
411509.8 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
320 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
392 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
99 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
407 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
49 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.2106 |