National Provider Identifier [NPI]: |
1225056807 |
Last Name Of The Provider |
HOBBS |
First Name Of The Provider |
STUART |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 SUTTER PL |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
DAVIS |
Zip Code Of The Provider |
956166213 |
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 |
35 |
Number Of Services |
544 |
Number Of Medicare Beneficiaries |
263 |
Total Submitted Charge Amount |
115195 |
Total Medicare Allowed Amount |
37970.41 |
Total Medicare Payment Amount |
26103.33 |
Total Medicare Standardized Payment Amount |
25050.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1608 |
Total Drug Medicare AllowedAmount |
684.91 |
Total Drug Medicare PaymentAmount |
666.62 |
Total Drug Medicare Standardized Payment Amount |
666.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
492 |
Number Of Medicare Beneficiaries With Medical Services |
263 |
Total Medical Submitted Charge Amount |
113587 |
Total Medical Medicare Allowed Amount |
37285.5 |
Total Medical Medicare Payment Amount |
25436.71 |
Total Medical Medicare Standardized Payment Amount |
24383.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
183 |
Number Of Male Beneficiaries |
80 |
Number Of Non Hispanic White Beneficiaries |
219 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
232 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0801 |