National Provider Identifier [NPI]: |
1215042866 |
Last Name Of The Provider |
EL-ZAYAT |
First Name Of The Provider |
SAID |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12665 GARDEN GROVE BLVD |
Street Address 2 Of The Provider |
#502-A |
City Of The Provider |
GARDEN GROVE |
Zip Code Of The Provider |
928431901 |
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 |
58 |
Number Of Services |
2333 |
Number Of Medicare Beneficiaries |
491 |
Total Submitted Charge Amount |
465950.2 |
Total Medicare Allowed Amount |
237841.25 |
Total Medicare Payment Amount |
176700.9 |
Total Medicare Standardized Payment Amount |
162649.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
143 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
8154 |
Total Drug Medicare AllowedAmount |
909.71 |
Total Drug Medicare PaymentAmount |
849.17 |
Total Drug Medicare Standardized Payment Amount |
849.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2190 |
Number Of Medicare Beneficiaries With Medical Services |
491 |
Total Medical Submitted Charge Amount |
457796.2 |
Total Medical Medicare Allowed Amount |
236931.54 |
Total Medical Medicare Payment Amount |
175851.73 |
Total Medical Medicare Standardized Payment Amount |
161799.84 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
125 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
312 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
83 |
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0056 |