National Provider Identifier [NPI]: |
1639146624 |
Last Name Of The Provider |
RAHIMI |
First Name Of The Provider |
RAMIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4955 EAST BELTINE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495259078 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
21011 |
Number Of Medicare Beneficiaries |
239 |
Total Submitted Charge Amount |
1645829 |
Total Medicare Allowed Amount |
493653.53 |
Total Medicare Payment Amount |
397703.14 |
Total Medicare Standardized Payment Amount |
420940.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
6794 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
133552 |
Total Drug Medicare AllowedAmount |
24495.02 |
Total Drug Medicare PaymentAmount |
18487.44 |
Total Drug Medicare Standardized Payment Amount |
18487.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
14217 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
1512277 |
Total Medical Medicare Allowed Amount |
469158.51 |
Total Medical Medicare Payment Amount |
379215.7 |
Total Medical Medicare Standardized Payment Amount |
402453.08 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
58 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
164 |
Number Of Male Beneficiaries |
75 |
Number Of Non Hispanic White Beneficiaries |
211 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
145 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
94 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4822 |