National Provider Identifier [NPI]: |
1013929918 |
Last Name Of The Provider |
GHARIB |
First Name Of The Provider |
DARIUS |
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 |
16133 VENTURA BLVD |
Street Address 2 Of The Provider |
350 |
City Of The Provider |
ENCINO |
Zip Code Of The Provider |
914362403 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
27767 |
Number Of Medicare Beneficiaries |
357 |
Total Submitted Charge Amount |
1295374 |
Total Medicare Allowed Amount |
962348.93 |
Total Medicare Payment Amount |
784102.33 |
Total Medicare Standardized Payment Amount |
751745.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
9444 |
Number Of Medicare Beneficiaries With Drug Services |
278 |
Total Drug Submitted ChargeAmount |
313980 |
Total Drug Medicare AllowedAmount |
285858.97 |
Total Drug Medicare PaymentAmount |
227907.36 |
Total Drug Medicare Standardized Payment Amount |
227907.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
18323 |
Number Of Medicare Beneficiaries With Medical Services |
357 |
Total Medical Submitted Charge Amount |
981394 |
Total Medical Medicare Allowed Amount |
676489.96 |
Total Medical Medicare Payment Amount |
556194.97 |
Total Medical Medicare Standardized Payment Amount |
523837.88 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
231 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
272 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
117 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
240 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
52 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6999 |