Medicare Facts for Dr. Dani Boulattouf, MD


National Provider Identifier [NPI]: 1609006618
Last Name Of The Provider BOULATTOUF
First Name Of The Provider DANI
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 8105 RITCHIE HWY
Street Address 2 Of The Provider
City Of The Provider PASADENA
Zip Code Of The Provider 211223905
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 76
Number Of Services 1196
Number Of Medicare Beneficiaries 435
Total Submitted Charge Amount 105468.36
Total Medicare Allowed Amount 46760.97
Total Medicare Payment Amount 34044.9
Total Medicare Standardized Payment Amount 32001.07
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 105
Number Of Medicare Beneficiaries With Drug Services 65
Total Drug Submitted ChargeAmount 1513.36
Total Drug Medicare AllowedAmount 660.64
Total Drug Medicare PaymentAmount 600.61
Total Drug Medicare Standardized Payment Amount 600.61
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 64
Number Of Medical Services 1091
Number Of Medicare Beneficiaries With Medical Services 433
Total Medical Submitted Charge Amount 103955
Total Medical Medicare Allowed Amount 46100.33
Total Medical Medicare Payment Amount 33444.29
Total Medical Medicare Standardized Payment Amount 31400.46
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 61
Number Of Beneficiaries Age 65 to 74 205
Number Of Beneficiaries Age 75 to 84 124
Number Of Beneficiaries Age Greater 84 45
Number Of Female Beneficiaries 299
Number Of Male Beneficiaries 136
Number Of Non Hispanic White Beneficiaries 249
Number Of Black or African American Beneficiaries 144
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 20
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 11
Number Of Beneficiaries With Medicare Only Entitlement 383
Number Of Beneficiaries With Medicare Medicaid Entitlement 52
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 8
Percent Of With Cancer 9
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 16
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 51
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 0.9551

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