National Provider Identifier [NPI]: |
1649469628 |
Last Name Of The Provider |
ABDULIAN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 W EULALIA ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
912042849 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
2031 |
Number Of Medicare Beneficiaries |
420 |
Total Submitted Charge Amount |
912010 |
Total Medicare Allowed Amount |
180498.84 |
Total Medicare Payment Amount |
140299.87 |
Total Medicare Standardized Payment Amount |
129722.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
540 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
59685 |
Total Drug Medicare AllowedAmount |
8207.74 |
Total Drug Medicare PaymentAmount |
6435.11 |
Total Drug Medicare Standardized Payment Amount |
6435.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
1491 |
Number Of Medicare Beneficiaries With Medical Services |
420 |
Total Medical Submitted Charge Amount |
852325 |
Total Medical Medicare Allowed Amount |
172291.1 |
Total Medical Medicare Payment Amount |
133864.76 |
Total Medical Medicare Standardized Payment Amount |
123287.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
280 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
310 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
94 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
326 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7404 |