National Provider Identifier [NPI]: |
1710030747 |
Last Name Of The Provider |
FALCONIO |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2067 W VISTA WAY |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
VISTA |
Zip Code Of The Provider |
920836031 |
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 |
76 |
Number Of Services |
8417 |
Number Of Medicare Beneficiaries |
722 |
Total Submitted Charge Amount |
626893 |
Total Medicare Allowed Amount |
329256.95 |
Total Medicare Payment Amount |
255225.47 |
Total Medicare Standardized Payment Amount |
248486.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1006 |
Number Of Medicare Beneficiaries With Drug Services |
240 |
Total Drug Submitted ChargeAmount |
12487.5 |
Total Drug Medicare AllowedAmount |
4973.12 |
Total Drug Medicare PaymentAmount |
4626.36 |
Total Drug Medicare Standardized Payment Amount |
4626.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
7411 |
Number Of Medicare Beneficiaries With Medical Services |
722 |
Total Medical Submitted Charge Amount |
614405.5 |
Total Medical Medicare Allowed Amount |
324283.83 |
Total Medical Medicare Payment Amount |
250599.11 |
Total Medical Medicare Standardized Payment Amount |
243860.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
652 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
661 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8945 |