National Provider Identifier [NPI]: |
1740433705 |
Last Name Of The Provider |
RAFII |
First Name Of The Provider |
FARHAD |
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 |
23101 SHERMAN PL |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
WEST HILLS |
Zip Code Of The Provider |
913072003 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
3782 |
Number Of Medicare Beneficiaries |
611 |
Total Submitted Charge Amount |
741990 |
Total Medicare Allowed Amount |
372708.89 |
Total Medicare Payment Amount |
283488.68 |
Total Medicare Standardized Payment Amount |
268081.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
18210 |
Total Drug Medicare AllowedAmount |
3459.04 |
Total Drug Medicare PaymentAmount |
2711.89 |
Total Drug Medicare Standardized Payment Amount |
2711.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3468 |
Number Of Medicare Beneficiaries With Medical Services |
611 |
Total Medical Submitted Charge Amount |
723780 |
Total Medical Medicare Allowed Amount |
369249.85 |
Total Medical Medicare Payment Amount |
280776.79 |
Total Medical Medicare Standardized Payment Amount |
265369.43 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
153 |
Number Of Beneficiaries Age 75 to 84 |
225 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
279 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
510 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
445 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.1166 |