National Provider Identifier [NPI]: |
1316109341 |
Last Name Of The Provider |
QUAZI |
First Name Of The Provider |
ROBIN |
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 |
10833 LE CONTE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900950001 |
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 |
131 |
Number Of Services |
8930 |
Number Of Medicare Beneficiaries |
1310 |
Total Submitted Charge Amount |
475091.4 |
Total Medicare Allowed Amount |
132564.79 |
Total Medicare Payment Amount |
102308.49 |
Total Medicare Standardized Payment Amount |
99801.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
7197 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
9215.4 |
Total Drug Medicare AllowedAmount |
2681.07 |
Total Drug Medicare PaymentAmount |
2101.98 |
Total Drug Medicare Standardized Payment Amount |
2101.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
1733 |
Number Of Medicare Beneficiaries With Medical Services |
1310 |
Total Medical Submitted Charge Amount |
465876 |
Total Medical Medicare Allowed Amount |
129883.72 |
Total Medical Medicare Payment Amount |
100206.51 |
Total Medical Medicare Standardized Payment Amount |
97699.81 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
595 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
727 |
Number Of Male Beneficiaries |
583 |
Number Of Non Hispanic White Beneficiaries |
1034 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
126 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1099 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.722 |