| National Provider Identifier [NPI]: | 1134154594 |
| Last Name Of The Provider | FARJAMI |
| First Name Of The Provider | SASSAN |
| 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 | 1043 ELM AVE |
| Street Address 2 Of The Provider | STE 104 |
| City Of The Provider | LONG BEACH |
| Zip Code Of The Provider | 908133244 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 165 |
| Number Of Services | 369270 |
| Number Of Medicare Beneficiaries | 530 |
| Total Submitted Charge Amount | 6985713.32 |
| Total Medicare Allowed Amount | 3737720.75 |
| Total Medicare Payment Amount | 2955002.63 |
| Total Medicare Standardized Payment Amount | 2871412.31 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 87 |
| Number Of Drug Services | 341769 |
| Number Of Medicare Beneficiaries With Drug Services | 217 |
| Total Drug Submitted ChargeAmount | 4268828.32 |
| Total Drug Medicare AllowedAmount | 2444906.89 |
| Total Drug Medicare PaymentAmount | 1915198.73 |
| Total Drug Medicare Standardized Payment Amount | 1915198.73 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 78 |
| Number Of Medical Services | 27501 |
| Number Of Medicare Beneficiaries With Medical Services | 530 |
| Total Medical Submitted Charge Amount | 2716885 |
| Total Medical Medicare Allowed Amount | 1292813.86 |
| Total Medical Medicare Payment Amount | 1039803.9 |
| Total Medical Medicare Standardized Payment Amount | 956213.58 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 81 |
| Number Of Beneficiaries Age 65 to 74 | 186 |
| Number Of Beneficiaries Age 75 to 84 | 171 |
| Number Of Beneficiaries Age Greater 84 | 92 |
| Number Of Female Beneficiaries | 277 |
| Number Of Male Beneficiaries | 253 |
| Number Of Non Hispanic White Beneficiaries | 308 |
| Number Of Black or African American Beneficiaries | 65 |
| Number Of AsianPacific Islander Beneficiaries | 46 |
| Number Of Hispanic Beneficiaries | 98 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 323 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 207 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 46 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 43 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 22 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 2.4894 |