Medicare Facts for Dr. Jerry T. Martell, MD


National Provider Identifier [NPI]: 1558383802
Last Name Of The Provider MARTELL
First Name Of The Provider JERRY
Middle Initial Of The Provider T
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 11370 ANDERSON ST
Street Address 2 Of The Provider
City Of The Provider LOMA LINDA
Zip Code Of The Provider 923543450
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 49
Number Of Services 1677
Number Of Medicare Beneficiaries 372
Total Submitted Charge Amount 381084
Total Medicare Allowed Amount 133876.92
Total Medicare Payment Amount 100663.43
Total Medicare Standardized Payment Amount 97223.3
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 263
Number Of Medicare Beneficiaries With Drug Services 140
Total Drug Submitted ChargeAmount 26403
Total Drug Medicare AllowedAmount 8840.26
Total Drug Medicare PaymentAmount 8605.47
Total Drug Medicare Standardized Payment Amount 8605.47
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 38
Number Of Medical Services 1414
Number Of Medicare Beneficiaries With Medical Services 372
Total Medical Submitted Charge Amount 354681
Total Medical Medicare Allowed Amount 125036.66
Total Medical Medicare Payment Amount 92057.96
Total Medical Medicare Standardized Payment Amount 88617.83
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 84
Number Of Beneficiaries Age 65 to 74 146
Number Of Beneficiaries Age 75 to 84 110
Number Of Beneficiaries Age Greater 84 32
Number Of Female Beneficiaries 201
Number Of Male Beneficiaries 171
Number Of Non Hispanic White Beneficiaries 192
Number Of Black or African American Beneficiaries 59
Number Of AsianPacific Islander Beneficiaries 16
Number Of Hispanic Beneficiaries 91
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 192
Number Of Beneficiaries With Medicare Medicaid Entitlement 180
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 7
Percent Of With Cancer 12
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 27
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 34
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.281

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