National Provider Identifier [NPI]: |
1245265495 |
Last Name Of The Provider |
VALDEZ |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3807 UNION AVE |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
93305 |
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 |
42 |
Number Of Services |
2289 |
Number Of Medicare Beneficiaries |
892 |
Total Submitted Charge Amount |
161820 |
Total Medicare Allowed Amount |
74583.46 |
Total Medicare Payment Amount |
55357.33 |
Total Medicare Standardized Payment Amount |
54247.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
1613 |
Total Drug Medicare AllowedAmount |
647.91 |
Total Drug Medicare PaymentAmount |
608.07 |
Total Drug Medicare Standardized Payment Amount |
608.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2230 |
Number Of Medicare Beneficiaries With Medical Services |
892 |
Total Medical Submitted Charge Amount |
160207 |
Total Medical Medicare Allowed Amount |
73935.55 |
Total Medical Medicare Payment Amount |
54749.26 |
Total Medical Medicare Standardized Payment Amount |
53639.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
151 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
244 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
468 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
580 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
224 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
564 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
328 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0922 |