National Provider Identifier [NPI]: |
1306934112 |
Last Name Of The Provider |
SHOKRAE |
First Name Of The Provider |
AMIR |
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 |
1140 W LA VETA AVE STE 730 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORANGE |
Zip Code Of The Provider |
928684229 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
18354 |
Number Of Medicare Beneficiaries |
828 |
Total Submitted Charge Amount |
1407495 |
Total Medicare Allowed Amount |
469844.98 |
Total Medicare Payment Amount |
362047.22 |
Total Medicare Standardized Payment Amount |
312823.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
14980 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
102225 |
Total Drug Medicare AllowedAmount |
85777.57 |
Total Drug Medicare PaymentAmount |
67249.59 |
Total Drug Medicare Standardized Payment Amount |
67249.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3374 |
Number Of Medicare Beneficiaries With Medical Services |
828 |
Total Medical Submitted Charge Amount |
1305270 |
Total Medical Medicare Allowed Amount |
384067.41 |
Total Medical Medicare Payment Amount |
294797.63 |
Total Medical Medicare Standardized Payment Amount |
245574.29 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
268 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
641 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
60 |
Number Of Hispanic Beneficiaries |
88 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.5036 |