National Provider Identifier [NPI]: |
1013968601 |
Last Name Of The Provider |
BEHESHTI |
First Name Of The Provider |
NADER |
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 |
2400 S CIMARRON RD |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891177938 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
231 |
Number Of Services |
10307 |
Number Of Medicare Beneficiaries |
2817 |
Total Submitted Charge Amount |
1298052.75 |
Total Medicare Allowed Amount |
284963.09 |
Total Medicare Payment Amount |
214883.85 |
Total Medicare Standardized Payment Amount |
210664.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
6271 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
17676.75 |
Total Drug Medicare AllowedAmount |
1642.33 |
Total Drug Medicare PaymentAmount |
1272.78 |
Total Drug Medicare Standardized Payment Amount |
1272.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
224 |
Number Of Medical Services |
4036 |
Number Of Medicare Beneficiaries With Medical Services |
2815 |
Total Medical Submitted Charge Amount |
1280376 |
Total Medical Medicare Allowed Amount |
283320.76 |
Total Medical Medicare Payment Amount |
213611.07 |
Total Medical Medicare Standardized Payment Amount |
209391.74 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
500 |
Number Of Beneficiaries Age 65 to 74 |
1117 |
Number Of Beneficiaries Age 75 to 84 |
830 |
Number Of Beneficiaries Age Greater 84 |
370 |
Number Of Female Beneficiaries |
1693 |
Number Of Male Beneficiaries |
1124 |
Number Of Non Hispanic White Beneficiaries |
1984 |
Number Of Black or African American Beneficiaries |
336 |
Number Of AsianPacific Islander Beneficiaries |
130 |
Number Of Hispanic Beneficiaries |
298 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
56 |
Number Of Beneficiaries With Medicare Only Entitlement |
2175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
642 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7817 |