| National Provider Identifier [NPI]: | 1356542187 |
| Last Name Of The Provider | NOURMOHAMMADI |
| First Name Of The Provider | MOHAMMAD |
| 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 | 612 S FLOWER ST |
| Street Address 2 Of The Provider | APT 702 |
| City Of The Provider | LOS ANGELES |
| Zip Code Of The Provider | 900172800 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 185 |
| Number Of Services | 11094 |
| Number Of Medicare Beneficiaries | 5561 |
| Total Submitted Charge Amount | 837083 |
| Total Medicare Allowed Amount | 321130.03 |
| Total Medicare Payment Amount | 247309.22 |
| Total Medicare Standardized Payment Amount | 245364.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 185 |
| Number Of Medical Services | 11094 |
| Number Of Medicare Beneficiaries With Medical Services | 5561 |
| Total Medical Submitted Charge Amount | 837083 |
| Total Medical Medicare Allowed Amount | 321130.03 |
| Total Medical Medicare Payment Amount | 247309.22 |
| Total Medical Medicare Standardized Payment Amount | 245364.27 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 585 |
| Number Of Beneficiaries Age 65 to 74 | 2068 |
| Number Of Beneficiaries Age 75 to 84 | 1859 |
| Number Of Beneficiaries Age Greater 84 | 1049 |
| Number Of Female Beneficiaries | 3688 |
| Number Of Male Beneficiaries | 1873 |
| Number Of Non Hispanic White Beneficiaries | 5231 |
| Number Of Black or African American Beneficiaries | 104 |
| Number Of AsianPacific Islander Beneficiaries | 25 |
| Number Of Hispanic Beneficiaries | 79 |
| Number Of American Indian Alaska Native Beneficiaries | 39 |
| Number Of Beneficiaries With Race Not Else where Classified | 83 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4679 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 882 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 26 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.2546 |