National Provider Identifier [NPI]: |
1235185695 |
Last Name Of The Provider |
HARANO |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1401 AVOCADO AVE |
Street Address 2 Of The Provider |
303 |
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926607720 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
4796 |
Number Of Medicare Beneficiaries |
1183 |
Total Submitted Charge Amount |
654267 |
Total Medicare Allowed Amount |
409426.75 |
Total Medicare Payment Amount |
314229.28 |
Total Medicare Standardized Payment Amount |
282115.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
187 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
6871 |
Total Drug Medicare AllowedAmount |
2215.45 |
Total Drug Medicare PaymentAmount |
2082.21 |
Total Drug Medicare Standardized Payment Amount |
2082.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
4609 |
Number Of Medicare Beneficiaries With Medical Services |
1182 |
Total Medical Submitted Charge Amount |
647396 |
Total Medical Medicare Allowed Amount |
407211.3 |
Total Medical Medicare Payment Amount |
312147.07 |
Total Medical Medicare Standardized Payment Amount |
280033.74 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
444 |
Number Of Beneficiaries Age 75 to 84 |
480 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
576 |
Number Of Non Hispanic White Beneficiaries |
1121 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9168 |