National Provider Identifier [NPI]: |
1700815461 |
Last Name Of The Provider |
CHISHTI |
First Name Of The Provider |
NADEEM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12462 E. PUTNAM ST. |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
WHITTIER |
Zip Code Of The Provider |
90602 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1427 |
Number Of Medicare Beneficiaries |
432 |
Total Submitted Charge Amount |
313291.3 |
Total Medicare Allowed Amount |
143441.04 |
Total Medicare Payment Amount |
111092.53 |
Total Medicare Standardized Payment Amount |
104866.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
550.5 |
Total Drug Medicare AllowedAmount |
303.86 |
Total Drug Medicare PaymentAmount |
297.79 |
Total Drug Medicare Standardized Payment Amount |
297.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1409 |
Number Of Medicare Beneficiaries With Medical Services |
432 |
Total Medical Submitted Charge Amount |
312740.8 |
Total Medical Medicare Allowed Amount |
143137.18 |
Total Medical Medicare Payment Amount |
110794.74 |
Total Medical Medicare Standardized Payment Amount |
104568.51 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
179 |
Number Of Non Hispanic White Beneficiaries |
217 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
167 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
245 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
31 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.7793 |