National Provider Identifier [NPI]: |
1205833662 |
Last Name Of The Provider |
HO |
First Name Of The Provider |
GERALD |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5451 LA PALMA AVE |
Street Address 2 Of The Provider |
SUITE 25 |
City Of The Provider |
LA PALMA |
Zip Code Of The Provider |
906231730 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
252791 |
Number Of Medicare Beneficiaries |
1513 |
Total Submitted Charge Amount |
10722198.18 |
Total Medicare Allowed Amount |
5974525.83 |
Total Medicare Payment Amount |
4653300.38 |
Total Medicare Standardized Payment Amount |
4502104.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
27 |
Number Of Drug Services |
232227 |
Number Of Medicare Beneficiaries With Drug Services |
939 |
Total Drug Submitted ChargeAmount |
7835612.18 |
Total Drug Medicare AllowedAmount |
4545609.61 |
Total Drug Medicare PaymentAmount |
3550097.39 |
Total Drug Medicare Standardized Payment Amount |
3550097.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
20564 |
Number Of Medicare Beneficiaries With Medical Services |
1511 |
Total Medical Submitted Charge Amount |
2886586 |
Total Medical Medicare Allowed Amount |
1428916.22 |
Total Medical Medicare Payment Amount |
1103202.99 |
Total Medical Medicare Standardized Payment Amount |
952006.92 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
518 |
Number Of Beneficiaries Age 75 to 84 |
525 |
Number Of Beneficiaries Age Greater 84 |
208 |
Number Of Female Beneficiaries |
1200 |
Number Of Male Beneficiaries |
313 |
Number Of Non Hispanic White Beneficiaries |
206 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
891 |
Number Of Hispanic Beneficiaries |
352 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
323 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1190 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
63 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5726 |