National Provider Identifier [NPI]: |
1033359336 |
Last Name Of The Provider |
JAFARPOUR |
First Name Of The Provider |
BEHNAM |
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 |
3421 BENSON AVE |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212271056 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3174 |
Number Of Medicare Beneficiaries |
774 |
Total Submitted Charge Amount |
646387.06 |
Total Medicare Allowed Amount |
239781 |
Total Medicare Payment Amount |
181163.1 |
Total Medicare Standardized Payment Amount |
170608.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
644 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
24113.02 |
Total Drug Medicare AllowedAmount |
3501.63 |
Total Drug Medicare PaymentAmount |
2745.2 |
Total Drug Medicare Standardized Payment Amount |
2745.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2530 |
Number Of Medicare Beneficiaries With Medical Services |
774 |
Total Medical Submitted Charge Amount |
622274.04 |
Total Medical Medicare Allowed Amount |
236279.37 |
Total Medical Medicare Payment Amount |
178417.9 |
Total Medical Medicare Standardized Payment Amount |
167863.47 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
540 |
Number Of Beneficiaries Age 65 to 74 |
158 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
475 |
Number Of Black or African American Beneficiaries |
284 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
349 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
425 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5062 |