National Provider Identifier [NPI]: |
1578723110 |
Last Name Of The Provider |
NAHER |
First Name Of The Provider |
KAMRUN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
655 S CENTRAL VALLEY HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SHAFTER |
Zip Code Of The Provider |
932632790 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
200 |
Number Of Medicare Beneficiaries |
75 |
Total Submitted Charge Amount |
13226 |
Total Medicare Allowed Amount |
11655.97 |
Total Medicare Payment Amount |
9049.78 |
Total Medicare Standardized Payment Amount |
9135.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
545 |
Total Drug Medicare AllowedAmount |
177.44 |
Total Drug Medicare PaymentAmount |
171.17 |
Total Drug Medicare Standardized Payment Amount |
171.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
186 |
Number Of Medicare Beneficiaries With Medical Services |
75 |
Total Medical Submitted Charge Amount |
12681 |
Total Medical Medicare Allowed Amount |
11478.53 |
Total Medical Medicare Payment Amount |
8878.61 |
Total Medical Medicare Standardized Payment Amount |
8964.41 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
27 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
43 |
Number Of Male Beneficiaries |
32 |
Number Of Non Hispanic White Beneficiaries |
11 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5244 |