National Provider Identifier [NPI]: |
1568494094 |
Last Name Of The Provider |
ZAND |
First Name Of The Provider |
TINOOSH |
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 |
100 S RAYMOND AVE |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY |
City Of The Provider |
ALHAMBRA |
Zip Code Of The Provider |
918013166 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
8098 |
Number Of Medicare Beneficiaries |
1935 |
Total Submitted Charge Amount |
1249705 |
Total Medicare Allowed Amount |
361060.07 |
Total Medicare Payment Amount |
298851.08 |
Total Medicare Standardized Payment Amount |
268300.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5321 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
17121 |
Total Drug Medicare AllowedAmount |
1813.48 |
Total Drug Medicare PaymentAmount |
1421.72 |
Total Drug Medicare Standardized Payment Amount |
1421.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
2777 |
Number Of Medicare Beneficiaries With Medical Services |
1934 |
Total Medical Submitted Charge Amount |
1232584 |
Total Medical Medicare Allowed Amount |
359246.59 |
Total Medical Medicare Payment Amount |
297429.36 |
Total Medical Medicare Standardized Payment Amount |
266879.24 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
286 |
Number Of Beneficiaries Age 65 to 74 |
753 |
Number Of Beneficiaries Age 75 to 84 |
554 |
Number Of Beneficiaries Age Greater 84 |
342 |
Number Of Female Beneficiaries |
1391 |
Number Of Male Beneficiaries |
544 |
Number Of Non Hispanic White Beneficiaries |
649 |
Number Of Black or African American Beneficiaries |
352 |
Number Of AsianPacific Islander Beneficiaries |
416 |
Number Of Hispanic Beneficiaries |
474 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
847 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1088 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9069 |