National Provider Identifier [NPI]: |
1558445254 |
Last Name Of The Provider |
HANAUER |
First Name Of The Provider |
FRANKLIN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MEDICAL DOCTOR |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 S BEACH BLVD |
Street Address 2 Of The Provider |
SUITE G |
City Of The Provider |
ANAHEIM |
Zip Code Of The Provider |
92804 |
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 |
40 |
Number Of Services |
2247 |
Number Of Medicare Beneficiaries |
216 |
Total Submitted Charge Amount |
344740 |
Total Medicare Allowed Amount |
176705 |
Total Medicare Payment Amount |
132229.95 |
Total Medicare Standardized Payment Amount |
121809.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
1051 |
Total Drug Medicare AllowedAmount |
410.72 |
Total Drug Medicare PaymentAmount |
395.5 |
Total Drug Medicare Standardized Payment Amount |
395.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2203 |
Number Of Medicare Beneficiaries With Medical Services |
216 |
Total Medical Submitted Charge Amount |
343689 |
Total Medical Medicare Allowed Amount |
176294.28 |
Total Medical Medicare Payment Amount |
131834.45 |
Total Medical Medicare Standardized Payment Amount |
121413.74 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
41 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
117 |
Number Of Male Beneficiaries |
99 |
Number Of Non Hispanic White Beneficiaries |
137 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
98 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
24 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0469 |