National Provider Identifier [NPI]: |
1831373919 |
Last Name Of The Provider |
GLOGAU |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
350 PARNASSUS AVENUE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SAN FRANCSICO |
Zip Code Of The Provider |
941173608 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4309 |
Number Of Medicare Beneficiaries |
606 |
Total Submitted Charge Amount |
286279.48 |
Total Medicare Allowed Amount |
263061.11 |
Total Medicare Payment Amount |
191282.29 |
Total Medicare Standardized Payment Amount |
155972.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
111.3 |
Total Drug Medicare AllowedAmount |
110.74 |
Total Drug Medicare PaymentAmount |
66.17 |
Total Drug Medicare Standardized Payment Amount |
66.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
4248 |
Number Of Medicare Beneficiaries With Medical Services |
606 |
Total Medical Submitted Charge Amount |
286168.18 |
Total Medical Medicare Allowed Amount |
262950.37 |
Total Medical Medicare Payment Amount |
191216.12 |
Total Medical Medicare Standardized Payment Amount |
155906.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
334 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
351 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
550 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
591 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8 |