National Provider Identifier [NPI]: |
1154426427 |
Last Name Of The Provider |
AUERBACH |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD PC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
435 SAINT MICHAELS DR STE A101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA FE |
Zip Code Of The Provider |
875057668 |
State Code Of The Provider |
NM |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
10683 |
Number Of Medicare Beneficiaries |
1370 |
Total Submitted Charge Amount |
818715 |
Total Medicare Allowed Amount |
528750.7 |
Total Medicare Payment Amount |
369833.99 |
Total Medicare Standardized Payment Amount |
390294.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
18200 |
Total Drug Medicare AllowedAmount |
18200 |
Total Drug Medicare PaymentAmount |
12283.24 |
Total Drug Medicare Standardized Payment Amount |
12283.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
10592 |
Number Of Medicare Beneficiaries With Medical Services |
1370 |
Total Medical Submitted Charge Amount |
800515 |
Total Medical Medicare Allowed Amount |
510550.7 |
Total Medical Medicare Payment Amount |
357550.75 |
Total Medical Medicare Standardized Payment Amount |
378011.08 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
772 |
Number Of Beneficiaries Age 75 to 84 |
417 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
776 |
Number Of Male Beneficiaries |
594 |
Number Of Non Hispanic White Beneficiaries |
1177 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
143 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
1346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
12 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7751 |