National Provider Identifier [NPI]: |
1326027509 |
Last Name Of The Provider |
RAHIMI |
First Name Of The Provider |
ARMIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
232 S WOODS MILL RD |
Street Address 2 Of The Provider |
STE 400 E |
City Of The Provider |
CHESTERFIELD |
Zip Code Of The Provider |
630173417 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5383 |
Number Of Medicare Beneficiaries |
715 |
Total Submitted Charge Amount |
1539856 |
Total Medicare Allowed Amount |
343769.25 |
Total Medicare Payment Amount |
258672.22 |
Total Medicare Standardized Payment Amount |
262520.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1189 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
6850 |
Total Drug Medicare AllowedAmount |
1622.07 |
Total Drug Medicare PaymentAmount |
1211.83 |
Total Drug Medicare Standardized Payment Amount |
1211.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4194 |
Number Of Medicare Beneficiaries With Medical Services |
715 |
Total Medical Submitted Charge Amount |
1533006 |
Total Medical Medicare Allowed Amount |
342147.18 |
Total Medical Medicare Payment Amount |
257460.39 |
Total Medical Medicare Standardized Payment Amount |
261308.67 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
432 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
661 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
662 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4658 |