National Provider Identifier [NPI]: |
1023204518 |
Last Name Of The Provider |
LAVIAN |
First Name Of The Provider |
ARASH |
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 |
2020 SANTA MONICA BLVD STE 400 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA MONICA |
Zip Code Of The Provider |
904042139 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3904 |
Number Of Medicare Beneficiaries |
912 |
Total Submitted Charge Amount |
1237435.24 |
Total Medicare Allowed Amount |
285474.79 |
Total Medicare Payment Amount |
216613.49 |
Total Medicare Standardized Payment Amount |
192903.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
141 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
28896 |
Total Drug Medicare AllowedAmount |
13022.53 |
Total Drug Medicare PaymentAmount |
9544.86 |
Total Drug Medicare Standardized Payment Amount |
9544.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3763 |
Number Of Medicare Beneficiaries With Medical Services |
912 |
Total Medical Submitted Charge Amount |
1208539.24 |
Total Medical Medicare Allowed Amount |
272452.26 |
Total Medical Medicare Payment Amount |
207068.63 |
Total Medical Medicare Standardized Payment Amount |
183358.87 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
545 |
Number Of Male Beneficiaries |
367 |
Number Of Non Hispanic White Beneficiaries |
795 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
775 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0687 |