National Provider Identifier [NPI]: |
1518962539 |
Last Name Of The Provider |
RABBANI |
First Name Of The Provider |
RAMIN |
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 |
23521 PASEO DE VALENCIA |
Street Address 2 Of The Provider |
STE 115 |
City Of The Provider |
LAGUNA HILLS |
Zip Code Of The Provider |
926533107 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
5441 |
Number Of Medicare Beneficiaries |
1771 |
Total Submitted Charge Amount |
1652497.87 |
Total Medicare Allowed Amount |
551830.75 |
Total Medicare Payment Amount |
422079.19 |
Total Medicare Standardized Payment Amount |
378728.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
196 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
31164 |
Total Drug Medicare AllowedAmount |
10374.45 |
Total Drug Medicare PaymentAmount |
8133.51 |
Total Drug Medicare Standardized Payment Amount |
8133.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
5245 |
Number Of Medicare Beneficiaries With Medical Services |
1771 |
Total Medical Submitted Charge Amount |
1621333.87 |
Total Medical Medicare Allowed Amount |
541456.3 |
Total Medical Medicare Payment Amount |
413945.68 |
Total Medical Medicare Standardized Payment Amount |
370594.62 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
553 |
Number Of Beneficiaries Age 75 to 84 |
572 |
Number Of Beneficiaries Age Greater 84 |
556 |
Number Of Female Beneficiaries |
966 |
Number Of Male Beneficiaries |
805 |
Number Of Non Hispanic White Beneficiaries |
1484 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
133 |
Number Of Hispanic Beneficiaries |
101 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
1455 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.731 |