National Provider Identifier [NPI]: |
1972639938 |
Last Name Of The Provider |
MEHRPOO |
First Name Of The Provider |
NAVID |
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 |
250 N ROBERTSON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902111788 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
8678 |
Number Of Medicare Beneficiaries |
5781 |
Total Submitted Charge Amount |
923742.76 |
Total Medicare Allowed Amount |
124224.97 |
Total Medicare Payment Amount |
94552.81 |
Total Medicare Standardized Payment Amount |
90986.78 |
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 |
108 |
Number Of Medical Services |
8678 |
Number Of Medicare Beneficiaries With Medical Services |
5781 |
Total Medical Submitted Charge Amount |
923742.76 |
Total Medical Medicare Allowed Amount |
124224.97 |
Total Medical Medicare Payment Amount |
94552.81 |
Total Medical Medicare Standardized Payment Amount |
90986.78 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
745 |
Number Of Beneficiaries Age 65 to 74 |
2081 |
Number Of Beneficiaries Age 75 to 84 |
1629 |
Number Of Beneficiaries Age Greater 84 |
1326 |
Number Of Female Beneficiaries |
3156 |
Number Of Male Beneficiaries |
2625 |
Number Of Non Hispanic White Beneficiaries |
3974 |
Number Of Black or African American Beneficiaries |
779 |
Number Of AsianPacific Islander Beneficiaries |
363 |
Number Of Hispanic Beneficiaries |
465 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2146 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2767 |