National Provider Identifier [NPI]: |
1134279524 |
Last Name Of The Provider |
MALEK |
First Name Of The Provider |
SABRI |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1575 N LAKE AVE |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911042340 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
1764 |
Number Of Medicare Beneficiaries |
138 |
Total Submitted Charge Amount |
376100.02 |
Total Medicare Allowed Amount |
172652.94 |
Total Medicare Payment Amount |
134383.48 |
Total Medicare Standardized Payment Amount |
121010.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
393 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
19850 |
Total Drug Medicare AllowedAmount |
466.4 |
Total Drug Medicare PaymentAmount |
365.78 |
Total Drug Medicare Standardized Payment Amount |
365.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
1371 |
Number Of Medicare Beneficiaries With Medical Services |
138 |
Total Medical Submitted Charge Amount |
356250.02 |
Total Medical Medicare Allowed Amount |
172186.54 |
Total Medical Medicare Payment Amount |
134017.7 |
Total Medical Medicare Standardized Payment Amount |
120644.66 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
49 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
84 |
Number Of Male Beneficiaries |
54 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
23 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.9954 |