National Provider Identifier [NPI]: |
1710038427 |
Last Name Of The Provider |
SILBERSTEIN |
First Name Of The Provider |
SYLVAIN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15211 VANOWEN ST |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
VAN NUYS |
Zip Code Of The Provider |
91405 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
103 |
Number Of Services |
17444 |
Number Of Medicare Beneficiaries |
527 |
Total Submitted Charge Amount |
742323.1 |
Total Medicare Allowed Amount |
367114.41 |
Total Medicare Payment Amount |
305051.53 |
Total Medicare Standardized Payment Amount |
293118.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
229 |
Number Of Medicare Beneficiaries With Drug Services |
189 |
Total Drug Submitted ChargeAmount |
7055 |
Total Drug Medicare AllowedAmount |
2924.08 |
Total Drug Medicare PaymentAmount |
2802.22 |
Total Drug Medicare Standardized Payment Amount |
2802.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
17215 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
735268.1 |
Total Medical Medicare Allowed Amount |
364190.33 |
Total Medical Medicare Payment Amount |
302249.31 |
Total Medical Medicare Standardized Payment Amount |
290315.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
418 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
407 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
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 |
16 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1976 |