National Provider Identifier [NPI]: |
1851362131 |
Last Name Of The Provider |
MILEFCHIK |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2841 LOMITA BLVD |
Street Address 2 Of The Provider |
SUITE 135 |
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
905055105 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
61980 |
Number Of Medicare Beneficiaries |
652 |
Total Submitted Charge Amount |
616761.1 |
Total Medicare Allowed Amount |
465413.04 |
Total Medicare Payment Amount |
357113.21 |
Total Medicare Standardized Payment Amount |
339002.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
56647 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
76264.1 |
Total Drug Medicare AllowedAmount |
44883.04 |
Total Drug Medicare PaymentAmount |
35344.58 |
Total Drug Medicare Standardized Payment Amount |
35344.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
5333 |
Number Of Medicare Beneficiaries With Medical Services |
651 |
Total Medical Submitted Charge Amount |
540497 |
Total Medical Medicare Allowed Amount |
420530 |
Total Medical Medicare Payment Amount |
321768.63 |
Total Medical Medicare Standardized Payment Amount |
303657.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
134 |
Number Of Female Beneficiaries |
322 |
Number Of Male Beneficiaries |
330 |
Number Of Non Hispanic White Beneficiaries |
478 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.2693 |