National Provider Identifier [NPI]: |
1992807721 |
Last Name Of The Provider |
MUY |
First Name Of The Provider |
MADINETH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
26800 CROWN VALLEY PKWY |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MISSION VIEJO |
Zip Code Of The Provider |
926916306 |
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 |
82 |
Number Of Services |
4970 |
Number Of Medicare Beneficiaries |
405 |
Total Submitted Charge Amount |
312036 |
Total Medicare Allowed Amount |
188302.78 |
Total Medicare Payment Amount |
147111.48 |
Total Medicare Standardized Payment Amount |
137585.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
128 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
11796 |
Total Drug Medicare AllowedAmount |
6889.62 |
Total Drug Medicare PaymentAmount |
6741.73 |
Total Drug Medicare Standardized Payment Amount |
6741.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
4842 |
Number Of Medicare Beneficiaries With Medical Services |
405 |
Total Medical Submitted Charge Amount |
300240 |
Total Medical Medicare Allowed Amount |
181413.16 |
Total Medical Medicare Payment Amount |
140369.75 |
Total Medical Medicare Standardized Payment Amount |
130843.68 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
95 |
Number Of Non Hispanic White Beneficiaries |
342 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0852 |