National Provider Identifier [NPI]: |
1518059955 |
Last Name Of The Provider |
HUMAYUN |
First Name Of The Provider |
SAEED |
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 |
23388 MULHOLLAND DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODLAND HILLS |
Zip Code Of The Provider |
913642733 |
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 |
65 |
Number Of Services |
2190 |
Number Of Medicare Beneficiaries |
429 |
Total Submitted Charge Amount |
275691.09 |
Total Medicare Allowed Amount |
185937.06 |
Total Medicare Payment Amount |
135222.69 |
Total Medicare Standardized Payment Amount |
132133.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
22600.06 |
Total Drug Medicare AllowedAmount |
2897.68 |
Total Drug Medicare PaymentAmount |
2590.17 |
Total Drug Medicare Standardized Payment Amount |
2590.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
2023 |
Number Of Medicare Beneficiaries With Medical Services |
429 |
Total Medical Submitted Charge Amount |
253091.03 |
Total Medical Medicare Allowed Amount |
183039.38 |
Total Medical Medicare Payment Amount |
132632.52 |
Total Medical Medicare Standardized Payment Amount |
129543.2 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
202 |
Number Of Female Beneficiaries |
230 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
400 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
347 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
50 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6463 |