National Provider Identifier [NPI]: |
1295751402 |
Last Name Of The Provider |
SAXTON |
First Name Of The Provider |
ERNESTINA |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2335 E KASHIAN LN |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937012230 |
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 |
67 |
Number Of Services |
15257 |
Number Of Medicare Beneficiaries |
271 |
Total Submitted Charge Amount |
522531 |
Total Medicare Allowed Amount |
217424.61 |
Total Medicare Payment Amount |
163692.75 |
Total Medicare Standardized Payment Amount |
162853.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
39 |
Number Of Drug Services |
14732 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
361577 |
Total Drug Medicare AllowedAmount |
144238.17 |
Total Drug Medicare PaymentAmount |
110978.18 |
Total Drug Medicare Standardized Payment Amount |
110978.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
525 |
Number Of Medicare Beneficiaries With Medical Services |
271 |
Total Medical Submitted Charge Amount |
160954 |
Total Medical Medicare Allowed Amount |
73186.44 |
Total Medical Medicare Payment Amount |
52714.57 |
Total Medical Medicare Standardized Payment Amount |
51875.05 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
128 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
106 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.7446 |