National Provider Identifier [NPI]: |
1750341202 |
Last Name Of The Provider |
FRIEDLANDER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
610 SIERRA ROSE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895112072 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
10504 |
Number Of Medicare Beneficiaries |
1099 |
Total Submitted Charge Amount |
4819662 |
Total Medicare Allowed Amount |
1902370.22 |
Total Medicare Payment Amount |
1444389.89 |
Total Medicare Standardized Payment Amount |
1426512.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2890 |
Number Of Medicare Beneficiaries With Drug Services |
387 |
Total Drug Submitted ChargeAmount |
2081007 |
Total Drug Medicare AllowedAmount |
1103239.63 |
Total Drug Medicare PaymentAmount |
858314.7 |
Total Drug Medicare Standardized Payment Amount |
858314.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
7614 |
Number Of Medicare Beneficiaries With Medical Services |
1098 |
Total Medical Submitted Charge Amount |
2738655 |
Total Medical Medicare Allowed Amount |
799130.59 |
Total Medical Medicare Payment Amount |
586075.19 |
Total Medical Medicare Standardized Payment Amount |
568197.42 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
427 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
594 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
996 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1015 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2434 |