National Provider Identifier [NPI]: |
1093828840 |
Last Name Of The Provider |
ATEBARA |
First Name Of The Provider |
NEAL |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD, FACS |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1380 LUSITANA ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968132421 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
5111 |
Number Of Medicare Beneficiaries |
704 |
Total Submitted Charge Amount |
1330247.52 |
Total Medicare Allowed Amount |
749392.59 |
Total Medicare Payment Amount |
551663.98 |
Total Medicare Standardized Payment Amount |
536974.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
544 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
418248.2 |
Total Drug Medicare AllowedAmount |
322777.09 |
Total Drug Medicare PaymentAmount |
245716.84 |
Total Drug Medicare Standardized Payment Amount |
245716.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
4567 |
Number Of Medicare Beneficiaries With Medical Services |
704 |
Total Medical Submitted Charge Amount |
911999.32 |
Total Medical Medicare Allowed Amount |
426615.5 |
Total Medical Medicare Payment Amount |
305947.14 |
Total Medical Medicare Standardized Payment Amount |
291257.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
350 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
111 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
475 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
97 |
Number Of Beneficiaries With Medicare Only Entitlement |
669 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
6 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
22 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3146 |