National Provider Identifier [NPI]: |
1063554566 |
Last Name Of The Provider |
KADOYAN |
First Name Of The Provider |
ARA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1560 E CHEVY CHASE DR SUITE #340 |
Street Address 2 Of The Provider |
|
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
91206 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
10 |
Number Of Services |
8190 |
Number Of Medicare Beneficiaries |
988 |
Total Submitted Charge Amount |
1186485 |
Total Medicare Allowed Amount |
520698.71 |
Total Medicare Payment Amount |
369904.11 |
Total Medicare Standardized Payment Amount |
341449.41 |
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 |
10 |
Number Of Medical Services |
8190 |
Number Of Medicare Beneficiaries With Medical Services |
988 |
Total Medical Submitted Charge Amount |
1186485 |
Total Medical Medicare Allowed Amount |
520698.71 |
Total Medical Medicare Payment Amount |
369904.11 |
Total Medical Medicare Standardized Payment Amount |
341449.41 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
472 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
601 |
Number Of Male Beneficiaries |
387 |
Number Of Non Hispanic White Beneficiaries |
825 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
66 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
45 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
943 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.4665 |