National Provider Identifier [NPI]: |
1255301024 |
Last Name Of The Provider |
NASSIR |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17822 BEACH BLVD |
Street Address 2 Of The Provider |
#430 |
City Of The Provider |
HUNTINGTON BEACH |
Zip Code Of The Provider |
926477508 |
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 |
62 |
Number Of Services |
8090 |
Number Of Medicare Beneficiaries |
575 |
Total Submitted Charge Amount |
1197359 |
Total Medicare Allowed Amount |
763764.67 |
Total Medicare Payment Amount |
579801.22 |
Total Medicare Standardized Payment Amount |
530568.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
357 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
10438 |
Total Drug Medicare AllowedAmount |
818.31 |
Total Drug Medicare PaymentAmount |
620.11 |
Total Drug Medicare Standardized Payment Amount |
620.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
7733 |
Number Of Medicare Beneficiaries With Medical Services |
575 |
Total Medical Submitted Charge Amount |
1186921 |
Total Medical Medicare Allowed Amount |
762946.36 |
Total Medical Medicare Payment Amount |
579181.11 |
Total Medical Medicare Standardized Payment Amount |
529948.61 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
333 |
Number Of Male Beneficiaries |
242 |
Number Of Non Hispanic White Beneficiaries |
441 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
290 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
285 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
27 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9934 |