National Provider Identifier [NPI]: |
1417026436 |
Last Name Of The Provider |
WILLIAMS |
First Name Of The Provider |
MARCUS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10666 N TORREY PINES ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LA JOLLA |
Zip Code Of The Provider |
920371027 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
5297 |
Number Of Medicare Beneficiaries |
1095 |
Total Submitted Charge Amount |
2932633.75 |
Total Medicare Allowed Amount |
377116.94 |
Total Medicare Payment Amount |
283053.93 |
Total Medicare Standardized Payment Amount |
307456.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1444 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
41580 |
Total Drug Medicare AllowedAmount |
12608.02 |
Total Drug Medicare PaymentAmount |
9907.43 |
Total Drug Medicare Standardized Payment Amount |
9907.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
3853 |
Number Of Medicare Beneficiaries With Medical Services |
1095 |
Total Medical Submitted Charge Amount |
2891053.75 |
Total Medical Medicare Allowed Amount |
364508.92 |
Total Medical Medicare Payment Amount |
273146.5 |
Total Medical Medicare Standardized Payment Amount |
297548.59 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
401 |
Number Of Beneficiaries Age 75 to 84 |
326 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
477 |
Number Of Non Hispanic White Beneficiaries |
766 |
Number Of Black or African American Beneficiaries |
307 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
731 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
364 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7741 |