National Provider Identifier [NPI]: |
1033293576 |
Last Name Of The Provider |
MELENDEZ |
First Name Of The Provider |
SUNNY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2841 LOMITA BLVD |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
905055105 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
44672 |
Number Of Medicare Beneficiaries |
453 |
Total Submitted Charge Amount |
1958201 |
Total Medicare Allowed Amount |
768869.92 |
Total Medicare Payment Amount |
649827.15 |
Total Medicare Standardized Payment Amount |
636165.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
4494 |
Number Of Medicare Beneficiaries With Drug Services |
312 |
Total Drug Submitted ChargeAmount |
180017 |
Total Drug Medicare AllowedAmount |
71340.04 |
Total Drug Medicare PaymentAmount |
58232.32 |
Total Drug Medicare Standardized Payment Amount |
58232.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
40178 |
Number Of Medicare Beneficiaries With Medical Services |
453 |
Total Medical Submitted Charge Amount |
1778184 |
Total Medical Medicare Allowed Amount |
697529.88 |
Total Medical Medicare Payment Amount |
591594.83 |
Total Medical Medicare Standardized Payment Amount |
577933.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
279 |
Number Of Male Beneficiaries |
174 |
Number Of Non Hispanic White Beneficiaries |
313 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
427 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
52 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2082 |