National Provider Identifier [NPI]: |
1619952306 |
Last Name Of The Provider |
JARUS |
First Name Of The Provider |
GLEN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6319 S GREENLEAF AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WHITTIER |
Zip Code Of The Provider |
906013536 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
10273 |
Number Of Medicare Beneficiaries |
1426 |
Total Submitted Charge Amount |
2095450 |
Total Medicare Allowed Amount |
1022455 |
Total Medicare Payment Amount |
760669.5 |
Total Medicare Standardized Payment Amount |
708352.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1273 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
123460 |
Total Drug Medicare AllowedAmount |
94623.34 |
Total Drug Medicare PaymentAmount |
74093.24 |
Total Drug Medicare Standardized Payment Amount |
74093.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
9000 |
Number Of Medicare Beneficiaries With Medical Services |
1426 |
Total Medical Submitted Charge Amount |
1971990 |
Total Medical Medicare Allowed Amount |
927831.66 |
Total Medical Medicare Payment Amount |
686576.26 |
Total Medical Medicare Standardized Payment Amount |
634258.86 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
396 |
Number Of Beneficiaries Age 75 to 84 |
520 |
Number Of Beneficiaries Age Greater 84 |
415 |
Number Of Female Beneficiaries |
817 |
Number Of Male Beneficiaries |
609 |
Number Of Non Hispanic White Beneficiaries |
817 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
96 |
Number Of Hispanic Beneficiaries |
468 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1077 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
349 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7966 |