National Provider Identifier [NPI]: |
1609914340 |
Last Name Of The Provider |
MORSHEDI-MEIBODI |
First Name Of The Provider |
ALI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20911 EARL ST. |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
905034353 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
4080 |
Number Of Medicare Beneficiaries |
1411 |
Total Submitted Charge Amount |
1774510 |
Total Medicare Allowed Amount |
415065.12 |
Total Medicare Payment Amount |
314791.67 |
Total Medicare Standardized Payment Amount |
293876.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
4080 |
Number Of Medicare Beneficiaries With Medical Services |
1411 |
Total Medical Submitted Charge Amount |
1774510 |
Total Medical Medicare Allowed Amount |
415065.12 |
Total Medical Medicare Payment Amount |
314791.67 |
Total Medical Medicare Standardized Payment Amount |
293876.64 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
243 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
298 |
Number Of Female Beneficiaries |
803 |
Number Of Male Beneficiaries |
608 |
Number Of Non Hispanic White Beneficiaries |
440 |
Number Of Black or African American Beneficiaries |
573 |
Number Of AsianPacific Islander Beneficiaries |
113 |
Number Of Hispanic Beneficiaries |
262 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
564 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
847 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.7315 |