National Provider Identifier [NPI]: |
1194940171 |
Last Name Of The Provider |
GARBEFF |
First Name Of The Provider |
PETER |
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 |
2545 W HAMMER LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
STOCKTON |
Zip Code Of The Provider |
952092839 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
4177 |
Number Of Medicare Beneficiaries |
1535 |
Total Submitted Charge Amount |
1717260 |
Total Medicare Allowed Amount |
396070.9 |
Total Medicare Payment Amount |
286424.14 |
Total Medicare Standardized Payment Amount |
278322.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1193 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
519985 |
Total Drug Medicare AllowedAmount |
78754.4 |
Total Drug Medicare PaymentAmount |
59583.91 |
Total Drug Medicare Standardized Payment Amount |
59583.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2984 |
Number Of Medicare Beneficiaries With Medical Services |
1531 |
Total Medical Submitted Charge Amount |
1197275 |
Total Medical Medicare Allowed Amount |
317316.5 |
Total Medical Medicare Payment Amount |
226840.23 |
Total Medical Medicare Standardized Payment Amount |
218738.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
629 |
Number Of Beneficiaries Age 75 to 84 |
512 |
Number Of Beneficiaries Age Greater 84 |
260 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
1196 |
Number Of Non Hispanic White Beneficiaries |
1099 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
93 |
Number Of Hispanic Beneficiaries |
224 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2046 |