| National Provider Identifier [NPI]: | 1235148826 |
| Last Name Of The Provider | NAZARANI |
| First Name Of The Provider | MEHBOOB |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7324 SOUTHWEST FWY |
| Street Address 2 Of The Provider | SUITE 640 |
| City Of The Provider | HOUSTON |
| Zip Code Of The Provider | 770742012 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Psychiatry |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 8 |
| Number Of Services | 1902 |
| Number Of Medicare Beneficiaries | 206 |
| Total Submitted Charge Amount | 34334.55 |
| Total Medicare Allowed Amount | 27772.47 |
| Total Medicare Payment Amount | 20383.47 |
| Total Medicare Standardized Payment Amount | 21677.34 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1457 |
| Number Of Medicare Beneficiaries With Drug Services | 11 |
| Total Drug Submitted ChargeAmount | 6125 |
| Total Drug Medicare AllowedAmount | 5372.81 |
| Total Drug Medicare PaymentAmount | 4212.25 |
| Total Drug Medicare Standardized Payment Amount | 4212.25 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 5 |
| Number Of Medical Services | 445 |
| Number Of Medicare Beneficiaries With Medical Services | 206 |
| Total Medical Submitted Charge Amount | 28209.55 |
| Total Medical Medicare Allowed Amount | 22399.66 |
| Total Medical Medicare Payment Amount | 16171.22 |
| Total Medical Medicare Standardized Payment Amount | 17465.09 |
| Average Age Of Beneficiaries | 49 |
| Number Of Beneficiaries Age Less65 | 185 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 134 |
| Number Of Male Beneficiaries | 72 |
| Number Of Non Hispanic White Beneficiaries | 103 |
| Number Of Black or African American Beneficiaries | 78 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 39 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 167 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 8 |
| Percent Of With Chronic Kidney Disease | 10 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 62 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 35 |
| Percent Of With Hypertension | 42 |
| Percent Of With Ischemic Heart Disease | 15 |
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 27 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 44 |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.0959 |