National Provider Identifier [NPI]: |
1285676551 |
Last Name Of The Provider |
BADAME |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2025 FOREST AVE |
Street Address 2 Of The Provider |
SUITE 9 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951284806 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
8466 |
Number Of Medicare Beneficiaries |
1024 |
Total Submitted Charge Amount |
1342813.22 |
Total Medicare Allowed Amount |
1302853.14 |
Total Medicare Payment Amount |
1000557 |
Total Medicare Standardized Payment Amount |
904463.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
74 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
1485 |
Total Drug Medicare AllowedAmount |
132.67 |
Total Drug Medicare PaymentAmount |
104.06 |
Total Drug Medicare Standardized Payment Amount |
104.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
8392 |
Number Of Medicare Beneficiaries With Medical Services |
1024 |
Total Medical Submitted Charge Amount |
1341328.22 |
Total Medical Medicare Allowed Amount |
1302720.47 |
Total Medical Medicare Payment Amount |
1000452.94 |
Total Medical Medicare Standardized Payment Amount |
904359.27 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
423 |
Number Of Beneficiaries Age 75 to 84 |
367 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
503 |
Number Of Non Hispanic White Beneficiaries |
892 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
984 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9697 |