| National Provider Identifier [NPI]: | 1346289220 |
| Last Name Of The Provider | ZAHLAN |
| First Name Of The Provider | BASSAM |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1045 ATLANTIC AVE |
| Street Address 2 Of The Provider | SUITE 105 |
| City Of The Provider | LONG BEACH |
| Zip Code Of The Provider | 908133408 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 205 |
| Number Of Services | 6734 |
| Number Of Medicare Beneficiaries | 3472 |
| Total Submitted Charge Amount | 984114.25 |
| Total Medicare Allowed Amount | 226656.98 |
| Total Medicare Payment Amount | 175377.76 |
| Total Medicare Standardized Payment Amount | 167239.51 |
| 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 | 205 |
| Number Of Medical Services | 6734 |
| Number Of Medicare Beneficiaries With Medical Services | 3472 |
| Total Medical Submitted Charge Amount | 984114.25 |
| Total Medical Medicare Allowed Amount | 226656.98 |
| Total Medical Medicare Payment Amount | 175377.76 |
| Total Medical Medicare Standardized Payment Amount | 167239.51 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 827 |
| Number Of Beneficiaries Age 65 to 74 | 1134 |
| Number Of Beneficiaries Age 75 to 84 | 925 |
| Number Of Beneficiaries Age Greater 84 | 586 |
| Number Of Female Beneficiaries | 1997 |
| Number Of Male Beneficiaries | 1475 |
| Number Of Non Hispanic White Beneficiaries | 1874 |
| Number Of Black or African American Beneficiaries | 594 |
| Number Of AsianPacific Islander Beneficiaries | 267 |
| Number Of Hispanic Beneficiaries | 668 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1456 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2016 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 17 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 47 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 57 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 16 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 2.4548 |