National Provider Identifier [NPI]: |
1366476152 |
Last Name Of The Provider |
JAFFER |
First Name Of The Provider |
ADRIAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9850 GENESEE AVE |
Street Address 2 Of The Provider |
SUITE 420 |
City Of The Provider |
LA JOLLA |
Zip Code Of The Provider |
920371224 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
7881 |
Number Of Medicare Beneficiaries |
338 |
Total Submitted Charge Amount |
320195 |
Total Medicare Allowed Amount |
230875.96 |
Total Medicare Payment Amount |
174846.71 |
Total Medicare Standardized Payment Amount |
171232.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
2663 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
141349 |
Total Drug Medicare AllowedAmount |
90489.85 |
Total Drug Medicare PaymentAmount |
70891.62 |
Total Drug Medicare Standardized Payment Amount |
70891.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
5218 |
Number Of Medicare Beneficiaries With Medical Services |
338 |
Total Medical Submitted Charge Amount |
178846 |
Total Medical Medicare Allowed Amount |
140386.11 |
Total Medical Medicare Payment Amount |
103955.09 |
Total Medical Medicare Standardized Payment Amount |
100341 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
249 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
304 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0227 |