National Provider Identifier [NPI]: |
1881694131 |
Last Name Of The Provider |
HORIZON |
First Name Of The Provider |
ARASH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8640 W 3RD ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900483384 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
140938 |
Number Of Medicare Beneficiaries |
698 |
Total Submitted Charge Amount |
6711415.76 |
Total Medicare Allowed Amount |
3254267.29 |
Total Medicare Payment Amount |
2523530.74 |
Total Medicare Standardized Payment Amount |
2454983.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
117688 |
Number Of Medicare Beneficiaries With Drug Services |
512 |
Total Drug Submitted ChargeAmount |
4604180.76 |
Total Drug Medicare AllowedAmount |
2416868.25 |
Total Drug Medicare PaymentAmount |
1852281.51 |
Total Drug Medicare Standardized Payment Amount |
1852281.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
23250 |
Number Of Medicare Beneficiaries With Medical Services |
697 |
Total Medical Submitted Charge Amount |
2107235 |
Total Medical Medicare Allowed Amount |
837399.04 |
Total Medical Medicare Payment Amount |
671249.23 |
Total Medical Medicare Standardized Payment Amount |
602702.29 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
460 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
63 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4257 |