National Provider Identifier [NPI]: |
1871838367 |
Last Name Of The Provider |
CAHN |
First Name Of The Provider |
JUSTIN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2625 W ALAMEDA AVE |
Street Address 2 Of The Provider |
SUITE 116 |
City Of The Provider |
BURBANK |
Zip Code Of The Provider |
915054806 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
1904 |
Number Of Medicare Beneficiaries |
509 |
Total Submitted Charge Amount |
442236 |
Total Medicare Allowed Amount |
96760.26 |
Total Medicare Payment Amount |
74136.7 |
Total Medicare Standardized Payment Amount |
79082.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
481 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
10555 |
Total Drug Medicare AllowedAmount |
5068.22 |
Total Drug Medicare PaymentAmount |
3968.06 |
Total Drug Medicare Standardized Payment Amount |
3968.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
112 |
Number Of Medical Services |
1423 |
Number Of Medicare Beneficiaries With Medical Services |
509 |
Total Medical Submitted Charge Amount |
431681 |
Total Medical Medicare Allowed Amount |
91692.04 |
Total Medical Medicare Payment Amount |
70168.64 |
Total Medical Medicare Standardized Payment Amount |
75114.55 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
346 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
411 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
350 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
159 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5693 |