National Provider Identifier [NPI]: |
1033154018 |
Last Name Of The Provider |
NASSIM |
First Name Of The Provider |
ARASH |
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 |
4400 DUCKHORN DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958342589 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
3507 |
Number Of Medicare Beneficiaries |
435 |
Total Submitted Charge Amount |
590366.5 |
Total Medicare Allowed Amount |
188202.27 |
Total Medicare Payment Amount |
130585.53 |
Total Medicare Standardized Payment Amount |
126069.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
1610 |
Number Of Medicare Beneficiaries With Drug Services |
216 |
Total Drug Submitted ChargeAmount |
96849 |
Total Drug Medicare AllowedAmount |
22776.53 |
Total Drug Medicare PaymentAmount |
20002.77 |
Total Drug Medicare Standardized Payment Amount |
20002.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1897 |
Number Of Medicare Beneficiaries With Medical Services |
435 |
Total Medical Submitted Charge Amount |
493517.5 |
Total Medical Medicare Allowed Amount |
165425.74 |
Total Medical Medicare Payment Amount |
110582.76 |
Total Medical Medicare Standardized Payment Amount |
106066.97 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
269 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
201 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
98 |
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
211 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
224 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3648 |