National Provider Identifier [NPI]: |
1346243367 |
Last Name Of The Provider |
KAZEMI |
First Name Of The Provider |
NAVID |
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 |
3121 S MARYLAND PKWY |
Street Address 2 Of The Provider |
STE 512 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891092310 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4589 |
Number Of Medicare Beneficiaries |
844 |
Total Submitted Charge Amount |
1091297.69 |
Total Medicare Allowed Amount |
508174.03 |
Total Medicare Payment Amount |
376477.66 |
Total Medicare Standardized Payment Amount |
373088.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
378 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
16311.96 |
Total Drug Medicare AllowedAmount |
14305.53 |
Total Drug Medicare PaymentAmount |
10858.57 |
Total Drug Medicare Standardized Payment Amount |
10858.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
4211 |
Number Of Medicare Beneficiaries With Medical Services |
844 |
Total Medical Submitted Charge Amount |
1074985.73 |
Total Medical Medicare Allowed Amount |
493868.5 |
Total Medical Medicare Payment Amount |
365619.09 |
Total Medical Medicare Standardized Payment Amount |
362230.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
366 |
Number Of Beneficiaries Age 75 to 84 |
274 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
432 |
Number Of Male Beneficiaries |
412 |
Number Of Non Hispanic White Beneficiaries |
619 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
705 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.7934 |