National Provider Identifier [NPI]: |
1538274287 |
Last Name Of The Provider |
CUTTER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 CRAVEN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN MARCOS |
Zip Code Of The Provider |
920784201 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
3085 |
Number Of Medicare Beneficiaries |
471 |
Total Submitted Charge Amount |
440875 |
Total Medicare Allowed Amount |
157335.29 |
Total Medicare Payment Amount |
112308.65 |
Total Medicare Standardized Payment Amount |
113630.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
615 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
20843 |
Total Drug Medicare AllowedAmount |
6776.13 |
Total Drug Medicare PaymentAmount |
5681.96 |
Total Drug Medicare Standardized Payment Amount |
5681.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2470 |
Number Of Medicare Beneficiaries With Medical Services |
471 |
Total Medical Submitted Charge Amount |
420032 |
Total Medical Medicare Allowed Amount |
150559.16 |
Total Medical Medicare Payment Amount |
106626.69 |
Total Medical Medicare Standardized Payment Amount |
107948.42 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
429 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
387 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0387 |