National Provider Identifier [NPI]: |
1366459208 |
Last Name Of The Provider |
DARWISH |
First Name Of The Provider |
RIAD |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12462 PUTNAM ST. |
Street Address 2 Of The Provider |
SUITE 506 |
City Of The Provider |
WHITTIER |
Zip Code Of The Provider |
906021002 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
955 |
Number Of Medicare Beneficiaries |
221 |
Total Submitted Charge Amount |
165511.4 |
Total Medicare Allowed Amount |
93436.31 |
Total Medicare Payment Amount |
69492.17 |
Total Medicare Standardized Payment Amount |
64584.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
6383 |
Total Drug Medicare AllowedAmount |
2436.65 |
Total Drug Medicare PaymentAmount |
2024.84 |
Total Drug Medicare Standardized Payment Amount |
2024.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
767 |
Number Of Medicare Beneficiaries With Medical Services |
221 |
Total Medical Submitted Charge Amount |
159128.4 |
Total Medical Medicare Allowed Amount |
90999.66 |
Total Medical Medicare Payment Amount |
67467.33 |
Total Medical Medicare Standardized Payment Amount |
62559.99 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
61 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
122 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
143 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
195 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
|
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0183 |