National Provider Identifier [NPI]: |
1154401701 |
Last Name Of The Provider |
DARIAN |
First Name Of The Provider |
GARO |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2595 E WASHINGTON BLVD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911071409 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
2393 |
Number Of Medicare Beneficiaries |
460 |
Total Submitted Charge Amount |
246000 |
Total Medicare Allowed Amount |
209319.07 |
Total Medicare Payment Amount |
154871.56 |
Total Medicare Standardized Payment Amount |
143001.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
85 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
2880 |
Total Drug Medicare AllowedAmount |
1170.83 |
Total Drug Medicare PaymentAmount |
1139.79 |
Total Drug Medicare Standardized Payment Amount |
1139.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
2308 |
Number Of Medicare Beneficiaries With Medical Services |
460 |
Total Medical Submitted Charge Amount |
243120 |
Total Medical Medicare Allowed Amount |
208148.24 |
Total Medical Medicare Payment Amount |
153731.77 |
Total Medical Medicare Standardized Payment Amount |
141861.85 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
250 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
404 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2183 |