National Provider Identifier [NPI]: |
1518915685 |
Last Name Of The Provider |
ZAMANI |
First Name Of The Provider |
PAYAM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
287 E HUNT HWY |
Street Address 2 Of The Provider |
SUITE #105 |
City Of The Provider |
SAN TAN VALLEY |
Zip Code Of The Provider |
851435096 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
984 |
Number Of Medicare Beneficiaries |
267 |
Total Submitted Charge Amount |
85820 |
Total Medicare Allowed Amount |
51435.2 |
Total Medicare Payment Amount |
33797.77 |
Total Medicare Standardized Payment Amount |
35303.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
146 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
1395 |
Total Drug Medicare AllowedAmount |
343.89 |
Total Drug Medicare PaymentAmount |
269.45 |
Total Drug Medicare Standardized Payment Amount |
269.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
838 |
Number Of Medicare Beneficiaries With Medical Services |
267 |
Total Medical Submitted Charge Amount |
84425 |
Total Medical Medicare Allowed Amount |
51091.31 |
Total Medical Medicare Payment Amount |
33528.32 |
Total Medical Medicare Standardized Payment Amount |
35034.46 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
154 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
167 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0664 |