National Provider Identifier [NPI]: |
1548202245 |
Last Name Of The Provider |
ABRAMS |
First Name Of The Provider |
REID |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 W ARBOR DR |
Street Address 2 Of The Provider |
MAIL CODE 8894 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921039000 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hand Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
1051 |
Number Of Medicare Beneficiaries |
334 |
Total Submitted Charge Amount |
422620.5 |
Total Medicare Allowed Amount |
117886.51 |
Total Medicare Payment Amount |
88382.76 |
Total Medicare Standardized Payment Amount |
85542.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
209 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
1899 |
Total Drug Medicare AllowedAmount |
373.09 |
Total Drug Medicare PaymentAmount |
246.09 |
Total Drug Medicare Standardized Payment Amount |
246.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
842 |
Number Of Medicare Beneficiaries With Medical Services |
334 |
Total Medical Submitted Charge Amount |
420721.5 |
Total Medical Medicare Allowed Amount |
117513.42 |
Total Medical Medicare Payment Amount |
88136.67 |
Total Medical Medicare Standardized Payment Amount |
85296.06 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
120 |
Number Of Non Hispanic White Beneficiaries |
268 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2065 |