National Provider Identifier [NPI]: |
1912961426 |
Last Name Of The Provider |
KNOEPFLER |
First Name Of The Provider |
ANCA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2660 W COVELL BLVD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
DAVIS |
Zip Code Of The Provider |
956165645 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
4984 |
Number Of Medicare Beneficiaries |
1391 |
Total Submitted Charge Amount |
177494 |
Total Medicare Allowed Amount |
87918.95 |
Total Medicare Payment Amount |
65101.53 |
Total Medicare Standardized Payment Amount |
63571.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
268 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
7666 |
Total Drug Medicare AllowedAmount |
3676.44 |
Total Drug Medicare PaymentAmount |
3556.84 |
Total Drug Medicare Standardized Payment Amount |
3556.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
4716 |
Number Of Medicare Beneficiaries With Medical Services |
1391 |
Total Medical Submitted Charge Amount |
169828 |
Total Medical Medicare Allowed Amount |
84242.51 |
Total Medical Medicare Payment Amount |
61544.69 |
Total Medical Medicare Standardized Payment Amount |
60015 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
726 |
Number Of Beneficiaries Age 75 to 84 |
386 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
769 |
Number Of Male Beneficiaries |
622 |
Number Of Non Hispanic White Beneficiaries |
1159 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
76 |
Number Of Hispanic Beneficiaries |
79 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9616 |