National Provider Identifier [NPI]: |
1487614194 |
Last Name Of The Provider |
YALOWITZ |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8635 W 3RD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900486101 |
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 |
77 |
Number Of Services |
3849 |
Number Of Medicare Beneficiaries |
828 |
Total Submitted Charge Amount |
850096 |
Total Medicare Allowed Amount |
252017.68 |
Total Medicare Payment Amount |
186642.09 |
Total Medicare Standardized Payment Amount |
173559.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
88 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
53522 |
Total Drug Medicare AllowedAmount |
17886.07 |
Total Drug Medicare PaymentAmount |
13991.09 |
Total Drug Medicare Standardized Payment Amount |
13991.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
3761 |
Number Of Medicare Beneficiaries With Medical Services |
828 |
Total Medical Submitted Charge Amount |
796574 |
Total Medical Medicare Allowed Amount |
234131.61 |
Total Medical Medicare Payment Amount |
172651 |
Total Medical Medicare Standardized Payment Amount |
159568.63 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
662 |
Number Of Non Hispanic White Beneficiaries |
728 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
761 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2283 |