National Provider Identifier [NPI]: |
1790886869 |
Last Name Of The Provider |
IQBAL |
First Name Of The Provider |
RAZA |
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 |
21520 YORBA LINDA BLVD |
Street Address 2 Of The Provider |
SUITE G 558 |
City Of The Provider |
YORBA LINDA |
Zip Code Of The Provider |
928873762 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
2486 |
Number Of Medicare Beneficiaries |
378 |
Total Submitted Charge Amount |
498908 |
Total Medicare Allowed Amount |
226204.3 |
Total Medicare Payment Amount |
176918.16 |
Total Medicare Standardized Payment Amount |
166794.82 |
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 |
6 |
Number Of Medical Services |
2486 |
Number Of Medicare Beneficiaries With Medical Services |
378 |
Total Medical Submitted Charge Amount |
498908 |
Total Medical Medicare Allowed Amount |
226204.3 |
Total Medical Medicare Payment Amount |
176918.16 |
Total Medical Medicare Standardized Payment Amount |
166794.82 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
178 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
129 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
104 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
274 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
65 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
4.2034 |