National Provider Identifier [NPI]: |
1285862375 |
Last Name Of The Provider |
BARTON |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
630 S RAYMOND AVE UNIT 310 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911053206 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
5808 |
Number Of Medicare Beneficiaries |
1296 |
Total Submitted Charge Amount |
2871062.34 |
Total Medicare Allowed Amount |
512559.95 |
Total Medicare Payment Amount |
399399.16 |
Total Medicare Standardized Payment Amount |
368159.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
192 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
1940 |
Total Drug Medicare AllowedAmount |
401.8 |
Total Drug Medicare PaymentAmount |
312.3 |
Total Drug Medicare Standardized Payment Amount |
312.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5616 |
Number Of Medicare Beneficiaries With Medical Services |
1296 |
Total Medical Submitted Charge Amount |
2869122.34 |
Total Medical Medicare Allowed Amount |
512158.15 |
Total Medical Medicare Payment Amount |
399086.86 |
Total Medical Medicare Standardized Payment Amount |
367847.47 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
271 |
Number Of Beneficiaries Age 65 to 74 |
544 |
Number Of Beneficiaries Age 75 to 84 |
368 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
713 |
Number Of Male Beneficiaries |
583 |
Number Of Non Hispanic White Beneficiaries |
1004 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
64 |
Number Of Hispanic Beneficiaries |
127 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
919 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
377 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.2818 |