National Provider Identifier [NPI]: |
1649284209 |
Last Name Of The Provider |
MOSHYEDI |
First Name Of The Provider |
ARMAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2121 MEDICAL PARK DRIVE |
Street Address 2 Of The Provider |
SUITE 3 |
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
20902 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
242 |
Number Of Services |
6095 |
Number Of Medicare Beneficiaries |
3222 |
Total Submitted Charge Amount |
837182.5 |
Total Medicare Allowed Amount |
238980.33 |
Total Medicare Payment Amount |
182241.19 |
Total Medicare Standardized Payment Amount |
169755.24 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
|
Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
442 |
Number Of Beneficiaries Age 65 to 74 |
958 |
Number Of Beneficiaries Age 75 to 84 |
954 |
Number Of Beneficiaries Age Greater 84 |
868 |
Number Of Female Beneficiaries |
1883 |
Number Of Male Beneficiaries |
1339 |
Number Of Non Hispanic White Beneficiaries |
1549 |
Number Of Black or African American Beneficiaries |
1160 |
Number Of AsianPacific Islander Beneficiaries |
203 |
Number Of Hispanic Beneficiaries |
243 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2319 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
903 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.1038 |