National Provider Identifier [NPI]: |
1104029990 |
Last Name Of The Provider |
ARSANJANI |
First Name Of The Provider |
REZA |
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 |
13400 E SHEA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852595452 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
4191 |
Number Of Medicare Beneficiaries |
2137 |
Total Submitted Charge Amount |
704462 |
Total Medicare Allowed Amount |
235901.19 |
Total Medicare Payment Amount |
174974.64 |
Total Medicare Standardized Payment Amount |
165603.89 |
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 |
24 |
Number Of Medical Services |
4191 |
Number Of Medicare Beneficiaries With Medical Services |
2137 |
Total Medical Submitted Charge Amount |
704462 |
Total Medical Medicare Allowed Amount |
235901.19 |
Total Medical Medicare Payment Amount |
174974.64 |
Total Medical Medicare Standardized Payment Amount |
165603.89 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
636 |
Number Of Beneficiaries Age 75 to 84 |
637 |
Number Of Beneficiaries Age Greater 84 |
625 |
Number Of Female Beneficiaries |
953 |
Number Of Male Beneficiaries |
1184 |
Number Of Non Hispanic White Beneficiaries |
1488 |
Number Of Black or African American Beneficiaries |
273 |
Number Of AsianPacific Islander Beneficiaries |
147 |
Number Of Hispanic Beneficiaries |
172 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
57 |
Number Of Beneficiaries With Medicare Only Entitlement |
1345 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
792 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
74 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.6173 |