National Provider Identifier [NPI]: |
1023164605 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
CHRISTINA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10666 N TORREY PINES RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LA JOLLA |
Zip Code Of The Provider |
920371027 |
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 |
53 |
Number Of Services |
4392 |
Number Of Medicare Beneficiaries |
1876 |
Total Submitted Charge Amount |
824101.6 |
Total Medicare Allowed Amount |
252283.4 |
Total Medicare Payment Amount |
187922.35 |
Total Medicare Standardized Payment Amount |
182070.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1253 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
58242.6 |
Total Drug Medicare AllowedAmount |
21786.44 |
Total Drug Medicare PaymentAmount |
16983.26 |
Total Drug Medicare Standardized Payment Amount |
16983.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3139 |
Number Of Medicare Beneficiaries With Medical Services |
1874 |
Total Medical Submitted Charge Amount |
765859 |
Total Medical Medicare Allowed Amount |
230496.96 |
Total Medical Medicare Payment Amount |
170939.09 |
Total Medical Medicare Standardized Payment Amount |
165087.59 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
802 |
Number Of Beneficiaries Age 75 to 84 |
642 |
Number Of Beneficiaries Age Greater 84 |
330 |
Number Of Female Beneficiaries |
896 |
Number Of Male Beneficiaries |
980 |
Number Of Non Hispanic White Beneficiaries |
1583 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
86 |
Number Of Hispanic Beneficiaries |
107 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
62 |
Number Of Beneficiaries With Medicare Only Entitlement |
1705 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4864 |