National Provider Identifier [NPI]: |
1528043023 |
Last Name Of The Provider |
TELANDER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D., PH.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3939 J ST |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958193636 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
25595 |
Number Of Medicare Beneficiaries |
2539 |
Total Submitted Charge Amount |
6621545 |
Total Medicare Allowed Amount |
4988723.46 |
Total Medicare Payment Amount |
3847077.77 |
Total Medicare Standardized Payment Amount |
3674897.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5608 |
Number Of Medicare Beneficiaries With Drug Services |
442 |
Total Drug Submitted ChargeAmount |
4357781.26 |
Total Drug Medicare AllowedAmount |
2914527.62 |
Total Drug Medicare PaymentAmount |
2279409.43 |
Total Drug Medicare Standardized Payment Amount |
2279409.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
19987 |
Number Of Medicare Beneficiaries With Medical Services |
2539 |
Total Medical Submitted Charge Amount |
2263763.74 |
Total Medical Medicare Allowed Amount |
2074195.84 |
Total Medical Medicare Payment Amount |
1567668.34 |
Total Medical Medicare Standardized Payment Amount |
1395488.27 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
887 |
Number Of Beneficiaries Age 75 to 84 |
881 |
Number Of Beneficiaries Age Greater 84 |
595 |
Number Of Female Beneficiaries |
1426 |
Number Of Male Beneficiaries |
1113 |
Number Of Non Hispanic White Beneficiaries |
1948 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
138 |
Number Of Hispanic Beneficiaries |
311 |
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
57 |
Number Of Beneficiaries With Medicare Only Entitlement |
2050 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
489 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4246 |