National Provider Identifier [NPI]: |
1780670091 |
Last Name Of The Provider |
HIRSCHFIELD |
First Name Of The Provider |
KRISTINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10884 SANTA MONICA BLVD FL 3 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900254646 |
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 |
72 |
Number Of Services |
12558 |
Number Of Medicare Beneficiaries |
1237 |
Total Submitted Charge Amount |
1324409 |
Total Medicare Allowed Amount |
788643.43 |
Total Medicare Payment Amount |
602154.99 |
Total Medicare Standardized Payment Amount |
541694.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
92 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
1196 |
Total Drug Medicare AllowedAmount |
163.37 |
Total Drug Medicare PaymentAmount |
128.09 |
Total Drug Medicare Standardized Payment Amount |
128.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
12466 |
Number Of Medicare Beneficiaries With Medical Services |
1237 |
Total Medical Submitted Charge Amount |
1323213 |
Total Medical Medicare Allowed Amount |
788480.06 |
Total Medical Medicare Payment Amount |
602026.9 |
Total Medical Medicare Standardized Payment Amount |
541566.1 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
595 |
Number Of Beneficiaries Age 75 to 84 |
392 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
671 |
Number Of Male Beneficiaries |
566 |
Number Of Non Hispanic White Beneficiaries |
1107 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1094 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0213 |