National Provider Identifier [NPI]: |
1396872107 |
Last Name Of The Provider |
NASR |
First Name Of The Provider |
HANY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 W NOBLE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
VISALIA |
Zip Code Of The Provider |
932772631 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
9774 |
Number Of Medicare Beneficiaries |
851 |
Total Submitted Charge Amount |
1169768.5 |
Total Medicare Allowed Amount |
659538.77 |
Total Medicare Payment Amount |
487077.78 |
Total Medicare Standardized Payment Amount |
463126.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3262 |
Number Of Medicare Beneficiaries With Drug Services |
336 |
Total Drug Submitted ChargeAmount |
54915.5 |
Total Drug Medicare AllowedAmount |
33544.63 |
Total Drug Medicare PaymentAmount |
19162.02 |
Total Drug Medicare Standardized Payment Amount |
19162.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
6512 |
Number Of Medicare Beneficiaries With Medical Services |
851 |
Total Medical Submitted Charge Amount |
1114853 |
Total Medical Medicare Allowed Amount |
625994.14 |
Total Medical Medicare Payment Amount |
467915.76 |
Total Medical Medicare Standardized Payment Amount |
443964.25 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
234 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
337 |
Number Of Non Hispanic White Beneficiaries |
577 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
237 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
351 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7029 |