National Provider Identifier [NPI]: |
1598875239 |
Last Name Of The Provider |
AL-ASADI |
First Name Of The Provider |
GHADA |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
415 W ROUTE 66 |
Street Address 2 Of The Provider |
STE 202 |
City Of The Provider |
GLENDORA |
Zip Code Of The Provider |
917404335 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
9 |
Number Of Services |
4851 |
Number Of Medicare Beneficiaries |
603 |
Total Submitted Charge Amount |
673650 |
Total Medicare Allowed Amount |
443341.96 |
Total Medicare Payment Amount |
343361.52 |
Total Medicare Standardized Payment Amount |
338621.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
4851 |
Number Of Medicare Beneficiaries With Medical Services |
603 |
Total Medical Submitted Charge Amount |
673650 |
Total Medical Medicare Allowed Amount |
443341.96 |
Total Medical Medicare Payment Amount |
343361.52 |
Total Medical Medicare Standardized Payment Amount |
338621.54 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
348 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
289 |
Number Of Non Hispanic White Beneficiaries |
331 |
Number Of Black or African American Beneficiaries |
67 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
156 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
99 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
504 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
71 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8814 |