National Provider Identifier [NPI]: |
1295769230 |
Last Name Of The Provider |
LOBEL |
First Name Of The Provider |
JOSEF |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14649 VICTORY BLVD STE 10 |
Street Address 2 Of The Provider |
|
City Of The Provider |
VAN NUYS |
Zip Code Of The Provider |
914114101 |
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 |
28 |
Number Of Services |
4006 |
Number Of Medicare Beneficiaries |
447 |
Total Submitted Charge Amount |
474650 |
Total Medicare Allowed Amount |
374871.33 |
Total Medicare Payment Amount |
288474.21 |
Total Medicare Standardized Payment Amount |
278879.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
590 |
Total Drug Medicare AllowedAmount |
154.56 |
Total Drug Medicare PaymentAmount |
149.79 |
Total Drug Medicare Standardized Payment Amount |
149.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3985 |
Number Of Medicare Beneficiaries With Medical Services |
447 |
Total Medical Submitted Charge Amount |
474060 |
Total Medical Medicare Allowed Amount |
374716.77 |
Total Medical Medicare Payment Amount |
288324.42 |
Total Medical Medicare Standardized Payment Amount |
278729.63 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
236 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
237 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
135 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
76 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
46 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
43 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.5837 |