National Provider Identifier [NPI]: |
1780611129 |
Last Name Of The Provider |
MOSENIFAR |
First Name Of The Provider |
ZAB |
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 |
8700 BEVERLY BLVD. |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900481865 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3002 |
Number Of Medicare Beneficiaries |
986 |
Total Submitted Charge Amount |
153785.1 |
Total Medicare Allowed Amount |
53083.39 |
Total Medicare Payment Amount |
41025.25 |
Total Medicare Standardized Payment Amount |
38864.24 |
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 |
30 |
Number Of Medical Services |
3002 |
Number Of Medicare Beneficiaries With Medical Services |
986 |
Total Medical Submitted Charge Amount |
153785.1 |
Total Medical Medicare Allowed Amount |
53083.39 |
Total Medical Medicare Payment Amount |
41025.25 |
Total Medical Medicare Standardized Payment Amount |
38864.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
374 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
503 |
Number Of Non Hispanic White Beneficiaries |
687 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
66 |
Number Of Hispanic Beneficiaries |
109 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
648 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
338 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.4174 |