National Provider Identifier [NPI]: |
1417132499 |
Last Name Of The Provider |
ESHAGHIAN |
First Name Of The Provider |
SHAHROOZ |
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 |
2080 CENTURY PARK E STE 1005 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900672013 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
130214 |
Number Of Medicare Beneficiaries |
435 |
Total Submitted Charge Amount |
2330095.81 |
Total Medicare Allowed Amount |
1707546.93 |
Total Medicare Payment Amount |
1390338.23 |
Total Medicare Standardized Payment Amount |
1291311.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
55 |
Number Of Drug Services |
104972 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
997418.81 |
Total Drug Medicare AllowedAmount |
771016.84 |
Total Drug Medicare PaymentAmount |
603918.23 |
Total Drug Medicare Standardized Payment Amount |
603918.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
25242 |
Number Of Medicare Beneficiaries With Medical Services |
435 |
Total Medical Submitted Charge Amount |
1332677 |
Total Medical Medicare Allowed Amount |
936530.09 |
Total Medical Medicare Payment Amount |
786420 |
Total Medical Medicare Standardized Payment Amount |
687393.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
296 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.7048 |