National Provider Identifier [NPI]: |
1447235254 |
Last Name Of The Provider |
MEYER |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
240 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
UKIAH |
Zip Code Of The Provider |
954824558 |
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 |
73 |
Number Of Services |
6736 |
Number Of Medicare Beneficiaries |
1238 |
Total Submitted Charge Amount |
1713890.1 |
Total Medicare Allowed Amount |
694993.52 |
Total Medicare Payment Amount |
518783.59 |
Total Medicare Standardized Payment Amount |
501725.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
916 |
Number Of Medicare Beneficiaries With Drug Services |
229 |
Total Drug Submitted ChargeAmount |
91600 |
Total Drug Medicare AllowedAmount |
48491.24 |
Total Drug Medicare PaymentAmount |
37104.72 |
Total Drug Medicare Standardized Payment Amount |
37104.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
5820 |
Number Of Medicare Beneficiaries With Medical Services |
1238 |
Total Medical Submitted Charge Amount |
1622290.1 |
Total Medical Medicare Allowed Amount |
646502.28 |
Total Medical Medicare Payment Amount |
481678.87 |
Total Medical Medicare Standardized Payment Amount |
464620.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
146 |
Number Of Beneficiaries Age 65 to 74 |
498 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
598 |
Number Of Male Beneficiaries |
640 |
Number Of Non Hispanic White Beneficiaries |
1078 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
83 |
Number Of American Indian Alaska Native Beneficiaries |
45 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
898 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
340 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.49 |