National Provider Identifier [NPI]: |
1295753234 |
Last Name Of The Provider |
DEMIROZU |
First Name Of The Provider |
MEHMET |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4477 W 118TH STREET #303 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAWTHORNE |
Zip Code Of The Provider |
902502258 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
21711 |
Number Of Medicare Beneficiaries |
1044 |
Total Submitted Charge Amount |
2599195 |
Total Medicare Allowed Amount |
2170836.8 |
Total Medicare Payment Amount |
1696876.38 |
Total Medicare Standardized Payment Amount |
1725457.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
705 |
Total Drug Medicare AllowedAmount |
629.4 |
Total Drug Medicare PaymentAmount |
616.74 |
Total Drug Medicare Standardized Payment Amount |
616.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
21672 |
Number Of Medicare Beneficiaries With Medical Services |
1044 |
Total Medical Submitted Charge Amount |
2598490 |
Total Medical Medicare Allowed Amount |
2170207.4 |
Total Medical Medicare Payment Amount |
1696259.64 |
Total Medical Medicare Standardized Payment Amount |
1724841.19 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
426 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
537 |
Number Of Non Hispanic White Beneficiaries |
303 |
Number Of Black or African American Beneficiaries |
398 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
300 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
87 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
957 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
70 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
75 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
57 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.4231 |