National Provider Identifier [NPI]: |
1114038064 |
Last Name Of The Provider |
ATKINSON |
First Name Of The Provider |
NATHAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7600 OLD DOMINION CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
APTOS |
Zip Code Of The Provider |
950033821 |
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 |
49 |
Number Of Services |
1665 |
Number Of Medicare Beneficiaries |
482 |
Total Submitted Charge Amount |
296966.5 |
Total Medicare Allowed Amount |
125245.01 |
Total Medicare Payment Amount |
88687.67 |
Total Medicare Standardized Payment Amount |
85328.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
416 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
6198 |
Total Drug Medicare AllowedAmount |
5122.77 |
Total Drug Medicare PaymentAmount |
4902.35 |
Total Drug Medicare Standardized Payment Amount |
4902.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1249 |
Number Of Medicare Beneficiaries With Medical Services |
480 |
Total Medical Submitted Charge Amount |
290768.5 |
Total Medical Medicare Allowed Amount |
120122.24 |
Total Medical Medicare Payment Amount |
83785.32 |
Total Medical Medicare Standardized Payment Amount |
80426.18 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
434 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
434 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.992 |