National Provider Identifier [NPI]: |
1952385544 |
Last Name Of The Provider |
AZIMIAN |
First Name Of The Provider |
KIAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
420 34TH ST |
Street Address 2 Of The Provider |
EMERGENCY DEPARTMENT |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933012237 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
1212 |
Number Of Medicare Beneficiaries |
651 |
Total Submitted Charge Amount |
434488 |
Total Medicare Allowed Amount |
118208.46 |
Total Medicare Payment Amount |
91203.67 |
Total Medicare Standardized Payment Amount |
90731.61 |
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 |
60 |
Number Of Medical Services |
1212 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
434488 |
Total Medical Medicare Allowed Amount |
118208.46 |
Total Medical Medicare Payment Amount |
91203.67 |
Total Medical Medicare Standardized Payment Amount |
90731.61 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
230 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
379 |
Number Of Male Beneficiaries |
272 |
Number Of Non Hispanic White Beneficiaries |
360 |
Number Of Black or African American Beneficiaries |
65 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
199 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
271 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
380 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.4938 |