National Provider Identifier [NPI]: |
1922070838 |
Last Name Of The Provider |
ANDREWS |
First Name Of The Provider |
ROGER |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
624 W DUARTE RD |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
ARCADIA |
Zip Code Of The Provider |
910077603 |
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 |
74 |
Number Of Services |
10377 |
Number Of Medicare Beneficiaries |
1130 |
Total Submitted Charge Amount |
826886.5 |
Total Medicare Allowed Amount |
465733.67 |
Total Medicare Payment Amount |
348077.07 |
Total Medicare Standardized Payment Amount |
322938.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3043 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
117780 |
Total Drug Medicare AllowedAmount |
51211.71 |
Total Drug Medicare PaymentAmount |
39977.72 |
Total Drug Medicare Standardized Payment Amount |
39977.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
7334 |
Number Of Medicare Beneficiaries With Medical Services |
1130 |
Total Medical Submitted Charge Amount |
709106.5 |
Total Medical Medicare Allowed Amount |
414521.96 |
Total Medical Medicare Payment Amount |
308099.35 |
Total Medical Medicare Standardized Payment Amount |
282960.73 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
340 |
Number Of Beneficiaries Age 75 to 84 |
444 |
Number Of Beneficiaries Age Greater 84 |
286 |
Number Of Female Beneficiaries |
334 |
Number Of Male Beneficiaries |
796 |
Number Of Non Hispanic White Beneficiaries |
851 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
82 |
Number Of Hispanic Beneficiaries |
152 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
950 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.532 |