National Provider Identifier [NPI]: |
1174741631 |
Last Name Of The Provider |
WINKLE |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11741 VALLEY VIEW ST |
Street Address 2 Of The Provider |
A |
City Of The Provider |
CYPRESS |
Zip Code Of The Provider |
906305500 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
22477 |
Number Of Medicare Beneficiaries |
331 |
Total Submitted Charge Amount |
1130997.93 |
Total Medicare Allowed Amount |
558078.71 |
Total Medicare Payment Amount |
427085.21 |
Total Medicare Standardized Payment Amount |
390812.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
1609 |
Number Of Medicare Beneficiaries With Drug Services |
263 |
Total Drug Submitted ChargeAmount |
46499.93 |
Total Drug Medicare AllowedAmount |
10399.83 |
Total Drug Medicare PaymentAmount |
8472.37 |
Total Drug Medicare Standardized Payment Amount |
8472.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
20868 |
Number Of Medicare Beneficiaries With Medical Services |
331 |
Total Medical Submitted Charge Amount |
1084498 |
Total Medical Medicare Allowed Amount |
547678.88 |
Total Medical Medicare Payment Amount |
418612.84 |
Total Medical Medicare Standardized Payment Amount |
382339.77 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
149 |
Number Of Non Hispanic White Beneficiaries |
267 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0723 |