| National Provider Identifier [NPI]: | 1235322538 |
| Last Name Of The Provider | KOCHUMIAN |
| First Name Of The Provider | MINAS |
| 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 | 18251 ROSCOE BLVD |
| Street Address 2 Of The Provider | SUITE 202 |
| City Of The Provider | NORTHRIDGE |
| Zip Code Of The Provider | 913254200 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 98 |
| Number Of Services | 64803 |
| Number Of Medicare Beneficiaries | 996 |
| Total Submitted Charge Amount | 5857245 |
| Total Medicare Allowed Amount | 2912998.64 |
| Total Medicare Payment Amount | 2230458.61 |
| Total Medicare Standardized Payment Amount | 2135804.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 38796 |
| Number Of Medicare Beneficiaries With Drug Services | 810 |
| Total Drug Submitted ChargeAmount | 2673550 |
| Total Drug Medicare AllowedAmount | 1561232.89 |
| Total Drug Medicare PaymentAmount | 1205420.8 |
| Total Drug Medicare Standardized Payment Amount | 1205420.8 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 93 |
| Number Of Medical Services | 26007 |
| Number Of Medicare Beneficiaries With Medical Services | 996 |
| Total Medical Submitted Charge Amount | 3183695 |
| Total Medical Medicare Allowed Amount | 1351765.75 |
| Total Medical Medicare Payment Amount | 1025037.81 |
| Total Medical Medicare Standardized Payment Amount | 930384.11 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 82 |
| Number Of Beneficiaries Age 65 to 74 | 362 |
| Number Of Beneficiaries Age 75 to 84 | 389 |
| Number Of Beneficiaries Age Greater 84 | 163 |
| Number Of Female Beneficiaries | 592 |
| Number Of Male Beneficiaries | 404 |
| Number Of Non Hispanic White Beneficiaries | 838 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 59 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 230 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 766 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 75 |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 19 |
| Percent Of With Diabetes | 75 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 65 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.725 |