National Provider Identifier [NPI]: |
1699749754 |
Last Name Of The Provider |
PECCI |
First Name Of The Provider |
MATTHEW |
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 |
2405 SHADELANDS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945982444 |
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 |
72 |
Number Of Services |
2927 |
Number Of Medicare Beneficiaries |
279 |
Total Submitted Charge Amount |
322525.8 |
Total Medicare Allowed Amount |
140076.97 |
Total Medicare Payment Amount |
106431.72 |
Total Medicare Standardized Payment Amount |
94199.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1610 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
42130.8 |
Total Drug Medicare AllowedAmount |
24497.43 |
Total Drug Medicare PaymentAmount |
19116.05 |
Total Drug Medicare Standardized Payment Amount |
19116.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
1317 |
Number Of Medicare Beneficiaries With Medical Services |
279 |
Total Medical Submitted Charge Amount |
280395 |
Total Medical Medicare Allowed Amount |
115579.54 |
Total Medical Medicare Payment Amount |
87315.67 |
Total Medical Medicare Standardized Payment Amount |
75083.14 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
132 |
Number Of Beneficiaries Age 75 to 84 |
76 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
162 |
Number Of Male Beneficiaries |
117 |
Number Of Non Hispanic White Beneficiaries |
247 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0658 |