National Provider Identifier [NPI]: |
1396817474 |
Last Name Of The Provider |
MAJETICH |
First Name Of The Provider |
NICK |
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 |
6401 COYLE AVE |
Street Address 2 Of The Provider |
STE 416 |
City Of The Provider |
CARMICHAEL |
Zip Code Of The Provider |
95608 |
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 |
60 |
Number Of Services |
5518 |
Number Of Medicare Beneficiaries |
2595 |
Total Submitted Charge Amount |
958778 |
Total Medicare Allowed Amount |
291302.52 |
Total Medicare Payment Amount |
218689.38 |
Total Medicare Standardized Payment Amount |
211691.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
5518 |
Number Of Medicare Beneficiaries With Medical Services |
2595 |
Total Medical Submitted Charge Amount |
958778 |
Total Medical Medicare Allowed Amount |
291302.52 |
Total Medical Medicare Payment Amount |
218689.38 |
Total Medical Medicare Standardized Payment Amount |
211691.18 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
490 |
Number Of Beneficiaries Age 65 to 74 |
796 |
Number Of Beneficiaries Age 75 to 84 |
738 |
Number Of Beneficiaries Age Greater 84 |
571 |
Number Of Female Beneficiaries |
1399 |
Number Of Male Beneficiaries |
1196 |
Number Of Non Hispanic White Beneficiaries |
2026 |
Number Of Black or African American Beneficiaries |
185 |
Number Of AsianPacific Islander Beneficiaries |
143 |
Number Of Hispanic Beneficiaries |
169 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
54 |
Number Of Beneficiaries With Medicare Only Entitlement |
1588 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1007 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0528 |