National Provider Identifier [NPI]: |
1316007230 |
Last Name Of The Provider |
KHWARG |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3400 LOMITA BLVD |
Street Address 2 Of The Provider |
#200 |
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
905054909 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5562 |
Number Of Medicare Beneficiaries |
1123 |
Total Submitted Charge Amount |
963040 |
Total Medicare Allowed Amount |
679076.14 |
Total Medicare Payment Amount |
490196.89 |
Total Medicare Standardized Payment Amount |
442835.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
8200 |
Total Drug Medicare AllowedAmount |
5414.7 |
Total Drug Medicare PaymentAmount |
4042.78 |
Total Drug Medicare Standardized Payment Amount |
4042.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
5480 |
Number Of Medicare Beneficiaries With Medical Services |
1123 |
Total Medical Submitted Charge Amount |
954840 |
Total Medical Medicare Allowed Amount |
673661.44 |
Total Medical Medicare Payment Amount |
486154.11 |
Total Medical Medicare Standardized Payment Amount |
438792.56 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
487 |
Number Of Beneficiaries Age 75 to 84 |
460 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
694 |
Number Of Male Beneficiaries |
429 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
965 |
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
241 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
882 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2107 |