National Provider Identifier [NPI]: |
1093904302 |
Last Name Of The Provider |
ELZIK |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
26730 CROWN VALLEY PKWY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MISSION VIEJO |
Zip Code Of The Provider |
926916364 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
1346 |
Number Of Medicare Beneficiaries |
154 |
Total Submitted Charge Amount |
274229 |
Total Medicare Allowed Amount |
120799.54 |
Total Medicare Payment Amount |
93290.19 |
Total Medicare Standardized Payment Amount |
84211 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
397 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
17132 |
Total Drug Medicare AllowedAmount |
13974.62 |
Total Drug Medicare PaymentAmount |
10956.14 |
Total Drug Medicare Standardized Payment Amount |
10956.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
136 |
Number Of Medical Services |
949 |
Number Of Medicare Beneficiaries With Medical Services |
154 |
Total Medical Submitted Charge Amount |
257097 |
Total Medical Medicare Allowed Amount |
106824.92 |
Total Medical Medicare Payment Amount |
82334.05 |
Total Medical Medicare Standardized Payment Amount |
73254.86 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
93 |
Number Of Male Beneficiaries |
61 |
Number Of Non Hispanic White Beneficiaries |
139 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
142 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3609 |