National Provider Identifier [NPI]: |
1902083900 |
Last Name Of The Provider |
SHAMSA |
First Name Of The Provider |
KAMRAN |
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 |
10833 LE CONTE AVE |
Street Address 2 Of The Provider |
UCLA MED CENTER, CHS 16-155 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900953075 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3807 |
Number Of Medicare Beneficiaries |
1167 |
Total Submitted Charge Amount |
2423254.71 |
Total Medicare Allowed Amount |
484724.74 |
Total Medicare Payment Amount |
371587.53 |
Total Medicare Standardized Payment Amount |
341972.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
476 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
131620 |
Total Drug Medicare AllowedAmount |
25018.32 |
Total Drug Medicare PaymentAmount |
19461.74 |
Total Drug Medicare Standardized Payment Amount |
19461.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3331 |
Number Of Medicare Beneficiaries With Medical Services |
1167 |
Total Medical Submitted Charge Amount |
2291634.71 |
Total Medical Medicare Allowed Amount |
459706.42 |
Total Medical Medicare Payment Amount |
352125.79 |
Total Medical Medicare Standardized Payment Amount |
322510.55 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
468 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
574 |
Number Of Male Beneficiaries |
593 |
Number Of Non Hispanic White Beneficiaries |
713 |
Number Of Black or African American Beneficiaries |
117 |
Number Of AsianPacific Islander Beneficiaries |
133 |
Number Of Hispanic Beneficiaries |
158 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
776 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
391 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.1432 |