National Provider Identifier [NPI]: |
1639114283 |
Last Name Of The Provider |
KASHFIAN |
First Name Of The Provider |
PAYAM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7345 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
WEST HILLS |
Zip Code Of The Provider |
913071910 |
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 |
46 |
Number Of Services |
2573 |
Number Of Medicare Beneficiaries |
688 |
Total Submitted Charge Amount |
589400 |
Total Medicare Allowed Amount |
120771.26 |
Total Medicare Payment Amount |
93157.85 |
Total Medicare Standardized Payment Amount |
86085.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1755 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1955 |
Total Drug Medicare AllowedAmount |
683.58 |
Total Drug Medicare PaymentAmount |
535.94 |
Total Drug Medicare Standardized Payment Amount |
535.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
818 |
Number Of Medicare Beneficiaries With Medical Services |
688 |
Total Medical Submitted Charge Amount |
587445 |
Total Medical Medicare Allowed Amount |
120087.68 |
Total Medical Medicare Payment Amount |
92621.91 |
Total Medical Medicare Standardized Payment Amount |
85549.19 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
410 |
Number Of Male Beneficiaries |
278 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
590 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9668 |