National Provider Identifier [NPI]: |
1982673976 |
Last Name Of The Provider |
ZANDI |
First Name Of The Provider |
DARIUSH |
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 |
13851 E 14TTH ST |
Street Address 2 Of The Provider |
#102 |
City Of The Provider |
SAN LEANDRO |
Zip Code Of The Provider |
945782628 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
14307 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
830622.17 |
Total Medicare Allowed Amount |
473523.52 |
Total Medicare Payment Amount |
371242.86 |
Total Medicare Standardized Payment Amount |
339674.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
269 |
Number Of Medicare Beneficiaries With Drug Services |
208 |
Total Drug Submitted ChargeAmount |
10522.52 |
Total Drug Medicare AllowedAmount |
5824.01 |
Total Drug Medicare PaymentAmount |
5681.27 |
Total Drug Medicare Standardized Payment Amount |
5681.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
14038 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
820099.65 |
Total Medical Medicare Allowed Amount |
467699.51 |
Total Medical Medicare Payment Amount |
365561.59 |
Total Medical Medicare Standardized Payment Amount |
333993.5 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
326 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
357 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
454 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1288 |