National Provider Identifier [NPI]: |
1336178409 |
Last Name Of The Provider |
CHALLBURG |
First Name Of The Provider |
NORMAN |
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 |
2721 OLIVE HWY |
Street Address 2 Of The Provider |
SUITE 12A |
City Of The Provider |
OROVILLE |
Zip Code Of The Provider |
959666115 |
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 |
26 |
Number Of Services |
3583 |
Number Of Medicare Beneficiaries |
624 |
Total Submitted Charge Amount |
265794.9 |
Total Medicare Allowed Amount |
226559.74 |
Total Medicare Payment Amount |
160047.84 |
Total Medicare Standardized Payment Amount |
157281.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
444 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
3992.9 |
Total Drug Medicare AllowedAmount |
689.87 |
Total Drug Medicare PaymentAmount |
503.71 |
Total Drug Medicare Standardized Payment Amount |
503.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
3139 |
Number Of Medicare Beneficiaries With Medical Services |
624 |
Total Medical Submitted Charge Amount |
261802 |
Total Medical Medicare Allowed Amount |
225869.87 |
Total Medical Medicare Payment Amount |
159544.13 |
Total Medical Medicare Standardized Payment Amount |
156777.48 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
201 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
135 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
341 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
553 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
344 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
280 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5886 |