National Provider Identifier [NPI]: |
1013176122 |
Last Name Of The Provider |
CORTES |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 WATER ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
SANTA CRUZ |
Zip Code Of The Provider |
950604124 |
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 |
47 |
Number Of Services |
1191 |
Number Of Medicare Beneficiaries |
249 |
Total Submitted Charge Amount |
158253 |
Total Medicare Allowed Amount |
89868.7 |
Total Medicare Payment Amount |
65588.66 |
Total Medicare Standardized Payment Amount |
63212.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
116 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
4698 |
Total Drug Medicare AllowedAmount |
1695.06 |
Total Drug Medicare PaymentAmount |
1633.38 |
Total Drug Medicare Standardized Payment Amount |
1633.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1075 |
Number Of Medicare Beneficiaries With Medical Services |
249 |
Total Medical Submitted Charge Amount |
153555 |
Total Medical Medicare Allowed Amount |
88173.64 |
Total Medical Medicare Payment Amount |
63955.28 |
Total Medical Medicare Standardized Payment Amount |
61579.04 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
112 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
166 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
127 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0548 |