National Provider Identifier [NPI]: |
1801997440 |
Last Name Of The Provider |
ALSHAHWANY |
First Name Of The Provider |
SINAN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 BALFOUR RD |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
BRENTWOOD |
Zip Code Of The Provider |
945134945 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
1467 |
Number Of Medicare Beneficiaries |
694 |
Total Submitted Charge Amount |
105853 |
Total Medicare Allowed Amount |
51951.65 |
Total Medicare Payment Amount |
34950.99 |
Total Medicare Standardized Payment Amount |
31473.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
301 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
6220 |
Total Drug Medicare AllowedAmount |
260.92 |
Total Drug Medicare PaymentAmount |
203.89 |
Total Drug Medicare Standardized Payment Amount |
203.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1166 |
Number Of Medicare Beneficiaries With Medical Services |
694 |
Total Medical Submitted Charge Amount |
99633 |
Total Medical Medicare Allowed Amount |
51690.73 |
Total Medical Medicare Payment Amount |
34747.1 |
Total Medical Medicare Standardized Payment Amount |
31269.9 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
470 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
535 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
562 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1076 |