National Provider Identifier [NPI]: |
1306867460 |
Last Name Of The Provider |
HOLDEN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
438 E KATELLA AVE |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
ORANGE |
Zip Code Of The Provider |
928674839 |
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 |
42 |
Number Of Services |
2611 |
Number Of Medicare Beneficiaries |
270 |
Total Submitted Charge Amount |
429617.1 |
Total Medicare Allowed Amount |
309097.48 |
Total Medicare Payment Amount |
230763.74 |
Total Medicare Standardized Payment Amount |
215387.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
8040 |
Total Drug Medicare AllowedAmount |
358.22 |
Total Drug Medicare PaymentAmount |
277.47 |
Total Drug Medicare Standardized Payment Amount |
277.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2498 |
Number Of Medicare Beneficiaries With Medical Services |
270 |
Total Medical Submitted Charge Amount |
421577.1 |
Total Medical Medicare Allowed Amount |
308739.26 |
Total Medical Medicare Payment Amount |
230486.27 |
Total Medical Medicare Standardized Payment Amount |
215110.05 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
66 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
173 |
Number Of Male Beneficiaries |
97 |
Number Of Non Hispanic White Beneficiaries |
207 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
151 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
59 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
36 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7261 |