| National Provider Identifier [NPI]: | 1518063510 |
| Last Name Of The Provider | BAGHDASSARIAN |
| First Name Of The Provider | RUBEN |
| 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 | 3791 KATELLA AVE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | LOS ALAMITOS |
| Zip Code Of The Provider | 907203105 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 103 |
| Number Of Services | 18829 |
| Number Of Medicare Beneficiaries | 883 |
| Total Submitted Charge Amount | 3450984.88 |
| Total Medicare Allowed Amount | 1340848.31 |
| Total Medicare Payment Amount | 1030381.95 |
| Total Medicare Standardized Payment Amount | 903354.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 2842 |
| Number Of Medicare Beneficiaries With Drug Services | 490 |
| Total Drug Submitted ChargeAmount | 248742.13 |
| Total Drug Medicare AllowedAmount | 78838.29 |
| Total Drug Medicare PaymentAmount | 59786.14 |
| Total Drug Medicare Standardized Payment Amount | 59786.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 97 |
| Number Of Medical Services | 15987 |
| Number Of Medicare Beneficiaries With Medical Services | 877 |
| Total Medical Submitted Charge Amount | 3202242.75 |
| Total Medical Medicare Allowed Amount | 1262010.02 |
| Total Medical Medicare Payment Amount | 970595.81 |
| Total Medical Medicare Standardized Payment Amount | 843568.14 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 45 |
| Number Of Beneficiaries Age 65 to 74 | 317 |
| Number Of Beneficiaries Age 75 to 84 | 366 |
| Number Of Beneficiaries Age Greater 84 | 155 |
| Number Of Female Beneficiaries | 177 |
| Number Of Male Beneficiaries | 706 |
| Number Of Non Hispanic White Beneficiaries | 628 |
| Number Of Black or African American Beneficiaries | 51 |
| Number Of AsianPacific Islander Beneficiaries | 73 |
| Number Of Hispanic Beneficiaries | 108 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 23 |
| Number Of Beneficiaries With Medicare Only Entitlement | 733 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 150 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 28 |
| Percent Of With Heart Failure | 26 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.4423 |