National Provider Identifier [NPI]: |
1427067966 |
Last Name Of The Provider |
ALIKSANIAN |
First Name Of The Provider |
ZABYOUR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
NP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 S CHEVY CHASE DR |
Street Address 2 Of The Provider |
#250 |
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
912054431 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
4889 |
Number Of Medicare Beneficiaries |
286 |
Total Submitted Charge Amount |
461165 |
Total Medicare Allowed Amount |
224617.03 |
Total Medicare Payment Amount |
166082.03 |
Total Medicare Standardized Payment Amount |
175568.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
321 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
8825 |
Total Drug Medicare AllowedAmount |
538.9 |
Total Drug Medicare PaymentAmount |
450.03 |
Total Drug Medicare Standardized Payment Amount |
450.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
4568 |
Number Of Medicare Beneficiaries With Medical Services |
286 |
Total Medical Submitted Charge Amount |
452340 |
Total Medical Medicare Allowed Amount |
224078.13 |
Total Medical Medicare Payment Amount |
165632 |
Total Medical Medicare Standardized Payment Amount |
175118.32 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
180 |
Number Of Male Beneficiaries |
106 |
Number Of Non Hispanic White Beneficiaries |
245 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4992 |