National Provider Identifier [NPI]: |
1447218052 |
Last Name Of The Provider |
KING |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
26932 OSO PKWY |
Street Address 2 Of The Provider |
SUITE 275 |
City Of The Provider |
MISSION VIEJO |
Zip Code Of The Provider |
926915815 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
4532 |
Number Of Medicare Beneficiaries |
239 |
Total Submitted Charge Amount |
662773.53 |
Total Medicare Allowed Amount |
194516.8 |
Total Medicare Payment Amount |
146023.75 |
Total Medicare Standardized Payment Amount |
129659.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
2750 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
31528 |
Total Drug Medicare AllowedAmount |
14662.65 |
Total Drug Medicare PaymentAmount |
11495.51 |
Total Drug Medicare Standardized Payment Amount |
11495.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
1782 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
631245.53 |
Total Medical Medicare Allowed Amount |
179854.15 |
Total Medical Medicare Payment Amount |
134528.24 |
Total Medical Medicare Standardized Payment Amount |
118163.95 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
100 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
140 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
224 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3018 |