National Provider Identifier [NPI]: |
1932174612 |
Last Name Of The Provider |
SLAYYEH |
First Name Of The Provider |
YASER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
399 E HIGHLAND AVE |
Street Address 2 Of The Provider |
215 |
City Of The Provider |
SAN BERNARDINO |
Zip Code Of The Provider |
924043808 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
2945 |
Number Of Medicare Beneficiaries |
814 |
Total Submitted Charge Amount |
920670 |
Total Medicare Allowed Amount |
287106.85 |
Total Medicare Payment Amount |
213388.5 |
Total Medicare Standardized Payment Amount |
212130.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
15900 |
Total Drug Medicare AllowedAmount |
443.81 |
Total Drug Medicare PaymentAmount |
347.27 |
Total Drug Medicare Standardized Payment Amount |
347.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
2863 |
Number Of Medicare Beneficiaries With Medical Services |
814 |
Total Medical Submitted Charge Amount |
904770 |
Total Medical Medicare Allowed Amount |
286663.04 |
Total Medical Medicare Payment Amount |
213041.23 |
Total Medical Medicare Standardized Payment Amount |
211783.68 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
458 |
Number Of Male Beneficiaries |
356 |
Number Of Non Hispanic White Beneficiaries |
340 |
Number Of Black or African American Beneficiaries |
122 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
282 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
255 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
559 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
66 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.4287 |