National Provider Identifier [NPI]: |
1730296443 |
Last Name Of The Provider |
WEINBERG |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18433 ROSCOE BLVD |
Street Address 2 Of The Provider |
SUITE 108 |
City Of The Provider |
NORTHRIDGE |
Zip Code Of The Provider |
913254108 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
3119 |
Number Of Medicare Beneficiaries |
698 |
Total Submitted Charge Amount |
438042.5 |
Total Medicare Allowed Amount |
303447.09 |
Total Medicare Payment Amount |
232140.52 |
Total Medicare Standardized Payment Amount |
216513.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1031 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
10082 |
Total Drug Medicare AllowedAmount |
7149.31 |
Total Drug Medicare PaymentAmount |
5603.82 |
Total Drug Medicare Standardized Payment Amount |
5603.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2088 |
Number Of Medicare Beneficiaries With Medical Services |
698 |
Total Medical Submitted Charge Amount |
427960.5 |
Total Medical Medicare Allowed Amount |
296297.78 |
Total Medical Medicare Payment Amount |
226536.7 |
Total Medical Medicare Standardized Payment Amount |
210909.3 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
471 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
133 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
329 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
369 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
28 |
Average HCC Risk Score Of Beneficiaries |
2.0267 |