National Provider Identifier [NPI]: |
1962498006 |
Last Name Of The Provider |
SOLINAS |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1150 MAIN ST |
Street Address 2 Of The Provider |
STE 3 |
City Of The Provider |
WATSONVILLE |
Zip Code Of The Provider |
950763747 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
11292 |
Number Of Medicare Beneficiaries |
451 |
Total Submitted Charge Amount |
499284.6 |
Total Medicare Allowed Amount |
347965.98 |
Total Medicare Payment Amount |
256897.07 |
Total Medicare Standardized Payment Amount |
250494.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
7016 |
Number Of Medicare Beneficiaries With Drug Services |
277 |
Total Drug Submitted ChargeAmount |
151873.6 |
Total Drug Medicare AllowedAmount |
103953.92 |
Total Drug Medicare PaymentAmount |
82271.83 |
Total Drug Medicare Standardized Payment Amount |
82271.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
4276 |
Number Of Medicare Beneficiaries With Medical Services |
451 |
Total Medical Submitted Charge Amount |
347411 |
Total Medical Medicare Allowed Amount |
244012.06 |
Total Medical Medicare Payment Amount |
174625.24 |
Total Medical Medicare Standardized Payment Amount |
168222.94 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
231 |
Number Of Non Hispanic White Beneficiaries |
82 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
353 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
181 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9871 |