National Provider Identifier [NPI]: |
1518153246 |
Last Name Of The Provider |
MASAMED |
First Name Of The Provider |
RINAT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10833 LE CONTE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900953075 |
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 |
132 |
Number Of Services |
13480 |
Number Of Medicare Beneficiaries |
2226 |
Total Submitted Charge Amount |
1495905.78 |
Total Medicare Allowed Amount |
347926.6 |
Total Medicare Payment Amount |
266258.29 |
Total Medicare Standardized Payment Amount |
244800.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
10361 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
55385 |
Total Drug Medicare AllowedAmount |
3057.7 |
Total Drug Medicare PaymentAmount |
2396.92 |
Total Drug Medicare Standardized Payment Amount |
2396.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
3119 |
Number Of Medicare Beneficiaries With Medical Services |
2226 |
Total Medical Submitted Charge Amount |
1440520.78 |
Total Medical Medicare Allowed Amount |
344868.9 |
Total Medical Medicare Payment Amount |
263861.37 |
Total Medical Medicare Standardized Payment Amount |
242403.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
396 |
Number Of Beneficiaries Age 65 to 74 |
938 |
Number Of Beneficiaries Age 75 to 84 |
591 |
Number Of Beneficiaries Age Greater 84 |
301 |
Number Of Female Beneficiaries |
1189 |
Number Of Male Beneficiaries |
1037 |
Number Of Non Hispanic White Beneficiaries |
1373 |
Number Of Black or African American Beneficiaries |
230 |
Number Of AsianPacific Islander Beneficiaries |
239 |
Number Of Hispanic Beneficiaries |
301 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
738 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.2158 |