National Provider Identifier [NPI]: |
1285671222 |
Last Name Of The Provider |
VANHAMERSVELD |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 UNIVERSITY AVE. |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958256524 |
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 |
100 |
Number Of Services |
5185 |
Number Of Medicare Beneficiaries |
1663 |
Total Submitted Charge Amount |
941482 |
Total Medicare Allowed Amount |
494933.76 |
Total Medicare Payment Amount |
356859.32 |
Total Medicare Standardized Payment Amount |
340216.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
5185 |
Number Of Medicare Beneficiaries With Medical Services |
1663 |
Total Medical Submitted Charge Amount |
941482 |
Total Medical Medicare Allowed Amount |
494933.76 |
Total Medical Medicare Payment Amount |
356859.32 |
Total Medical Medicare Standardized Payment Amount |
340216.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
647 |
Number Of Beneficiaries Age 75 to 84 |
544 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
902 |
Number Of Male Beneficiaries |
761 |
Number Of Non Hispanic White Beneficiaries |
1066 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
280 |
Number Of Hispanic Beneficiaries |
171 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1056 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
607 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4287 |