National Provider Identifier [NPI]: |
1487715694 |
Last Name Of The Provider |
MAZHAR |
First Name Of The Provider |
ADIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1115 S SUNSET AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST COVINA |
Zip Code Of The Provider |
917903940 |
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 |
164 |
Number Of Services |
1634 |
Number Of Medicare Beneficiaries |
928 |
Total Submitted Charge Amount |
195501 |
Total Medicare Allowed Amount |
67088.27 |
Total Medicare Payment Amount |
53010.27 |
Total Medicare Standardized Payment Amount |
50274.84 |
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 |
164 |
Number Of Medical Services |
1634 |
Number Of Medicare Beneficiaries With Medical Services |
928 |
Total Medical Submitted Charge Amount |
195501 |
Total Medical Medicare Allowed Amount |
67088.27 |
Total Medical Medicare Payment Amount |
53010.27 |
Total Medical Medicare Standardized Payment Amount |
50274.84 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
292 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
601 |
Number Of Male Beneficiaries |
327 |
Number Of Non Hispanic White Beneficiaries |
230 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
135 |
Number Of Hispanic Beneficiaries |
491 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
247 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
681 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.1561 |