National Provider Identifier [NPI]: |
1144279514 |
Last Name Of The Provider |
YASHAR |
First Name Of The Provider |
PAYAM |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8635 W 3RD ST |
Street Address 2 Of The Provider |
SUITE 1050W |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900486101 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
9736 |
Number Of Medicare Beneficiaries |
1392 |
Total Submitted Charge Amount |
6090155 |
Total Medicare Allowed Amount |
1052346.86 |
Total Medicare Payment Amount |
821586.51 |
Total Medicare Standardized Payment Amount |
767700.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
281 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
158480 |
Total Drug Medicare AllowedAmount |
14623.56 |
Total Drug Medicare PaymentAmount |
11464.76 |
Total Drug Medicare Standardized Payment Amount |
11464.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
9455 |
Number Of Medicare Beneficiaries With Medical Services |
1392 |
Total Medical Submitted Charge Amount |
5931675 |
Total Medical Medicare Allowed Amount |
1037723.3 |
Total Medical Medicare Payment Amount |
810121.75 |
Total Medical Medicare Standardized Payment Amount |
756236.15 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
474 |
Number Of Beneficiaries Age 75 to 84 |
395 |
Number Of Beneficiaries Age Greater 84 |
287 |
Number Of Female Beneficiaries |
715 |
Number Of Male Beneficiaries |
677 |
Number Of Non Hispanic White Beneficiaries |
870 |
Number Of Black or African American Beneficiaries |
149 |
Number Of AsianPacific Islander Beneficiaries |
117 |
Number Of Hispanic Beneficiaries |
204 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
611 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
781 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.48 |