National Provider Identifier [NPI]: |
1144249202 |
Last Name Of The Provider |
WHINERY |
First Name Of The Provider |
FREDERIC |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 WEBSTER ST |
Street Address 2 Of The Provider |
423 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941152373 |
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 |
33 |
Number Of Services |
913 |
Number Of Medicare Beneficiaries |
263 |
Total Submitted Charge Amount |
146749 |
Total Medicare Allowed Amount |
79052.03 |
Total Medicare Payment Amount |
60813.51 |
Total Medicare Standardized Payment Amount |
51128.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
111 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
8440 |
Total Drug Medicare AllowedAmount |
4660.39 |
Total Drug Medicare PaymentAmount |
4562.89 |
Total Drug Medicare Standardized Payment Amount |
4562.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
802 |
Number Of Medicare Beneficiaries With Medical Services |
263 |
Total Medical Submitted Charge Amount |
138309 |
Total Medical Medicare Allowed Amount |
74391.64 |
Total Medical Medicare Payment Amount |
56250.62 |
Total Medical Medicare Standardized Payment Amount |
46565.49 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
126 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
199 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9949 |