National Provider Identifier [NPI]: |
1437263845 |
Last Name Of The Provider |
ADATTO |
First Name Of The Provider |
ISAAC |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16030 VENTURA BLVD |
Street Address 2 Of The Provider |
SUITE 680 |
City Of The Provider |
ENCINO |
Zip Code Of The Provider |
914362731 |
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 |
166 |
Number Of Services |
17606 |
Number Of Medicare Beneficiaries |
421 |
Total Submitted Charge Amount |
1109292.26 |
Total Medicare Allowed Amount |
409216.36 |
Total Medicare Payment Amount |
343247.55 |
Total Medicare Standardized Payment Amount |
327960.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
512 |
Number Of Medicare Beneficiaries With Drug Services |
271 |
Total Drug Submitted ChargeAmount |
16776 |
Total Drug Medicare AllowedAmount |
8058.37 |
Total Drug Medicare PaymentAmount |
7873.71 |
Total Drug Medicare Standardized Payment Amount |
7873.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
152 |
Number Of Medical Services |
17094 |
Number Of Medicare Beneficiaries With Medical Services |
420 |
Total Medical Submitted Charge Amount |
1092516.26 |
Total Medical Medicare Allowed Amount |
401157.99 |
Total Medical Medicare Payment Amount |
335373.84 |
Total Medical Medicare Standardized Payment Amount |
320086.82 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
178 |
Number Of Non Hispanic White Beneficiaries |
399 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1571 |