National Provider Identifier [NPI]: |
1891795449 |
Last Name Of The Provider |
ALI |
First Name Of The Provider |
RAED |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 E VALENCIA MESA DR |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
FULLERTON |
Zip Code Of The Provider |
928353813 |
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 |
73 |
Number Of Services |
1439 |
Number Of Medicare Beneficiaries |
412 |
Total Submitted Charge Amount |
848867.48 |
Total Medicare Allowed Amount |
285665.74 |
Total Medicare Payment Amount |
219066.71 |
Total Medicare Standardized Payment Amount |
201331.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
786 |
Total Drug Medicare AllowedAmount |
111.71 |
Total Drug Medicare PaymentAmount |
87.6 |
Total Drug Medicare Standardized Payment Amount |
87.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
1416 |
Number Of Medicare Beneficiaries With Medical Services |
412 |
Total Medical Submitted Charge Amount |
848081.48 |
Total Medical Medicare Allowed Amount |
285554.03 |
Total Medical Medicare Payment Amount |
218979.11 |
Total Medical Medicare Standardized Payment Amount |
201244.3 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
316 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2324 |