National Provider Identifier [NPI]: |
1164493201 |
Last Name Of The Provider |
AMIRANI |
First Name Of The Provider |
HOSSEIN |
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 |
1515 S CLIFTON AVE |
Street Address 2 Of The Provider |
STE 150 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672182900 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
30521 |
Number Of Medicare Beneficiaries |
2546 |
Total Submitted Charge Amount |
4603391 |
Total Medicare Allowed Amount |
1572389.97 |
Total Medicare Payment Amount |
1192993.57 |
Total Medicare Standardized Payment Amount |
1269106.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
17253 |
Number Of Medicare Beneficiaries With Drug Services |
883 |
Total Drug Submitted ChargeAmount |
144136 |
Total Drug Medicare AllowedAmount |
66056.9 |
Total Drug Medicare PaymentAmount |
51430 |
Total Drug Medicare Standardized Payment Amount |
51430 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
13268 |
Number Of Medicare Beneficiaries With Medical Services |
2546 |
Total Medical Submitted Charge Amount |
4459255 |
Total Medical Medicare Allowed Amount |
1506333.07 |
Total Medical Medicare Payment Amount |
1141563.57 |
Total Medical Medicare Standardized Payment Amount |
1217676.11 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
341 |
Number Of Beneficiaries Age 65 to 74 |
890 |
Number Of Beneficiaries Age 75 to 84 |
841 |
Number Of Beneficiaries Age Greater 84 |
474 |
Number Of Female Beneficiaries |
1338 |
Number Of Male Beneficiaries |
1208 |
Number Of Non Hispanic White Beneficiaries |
2279 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
90 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2093 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
453 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5521 |