National Provider Identifier [NPI]: |
1093762825 |
Last Name Of The Provider |
WEI |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1981 N BROADWAY |
Street Address 2 Of The Provider |
SUITE 248 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945963852 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
6940 |
Number Of Medicare Beneficiaries |
407 |
Total Submitted Charge Amount |
318474.57 |
Total Medicare Allowed Amount |
180642.38 |
Total Medicare Payment Amount |
138204.08 |
Total Medicare Standardized Payment Amount |
120834.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
5943 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
44698 |
Total Drug Medicare AllowedAmount |
32696.55 |
Total Drug Medicare PaymentAmount |
25624.01 |
Total Drug Medicare Standardized Payment Amount |
25624.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
997 |
Number Of Medicare Beneficiaries With Medical Services |
407 |
Total Medical Submitted Charge Amount |
273776.57 |
Total Medical Medicare Allowed Amount |
147945.83 |
Total Medical Medicare Payment Amount |
112580.07 |
Total Medical Medicare Standardized Payment Amount |
95210.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
161 |
Number Of Beneficiaries Age 75 to 84 |
133 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
345 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
387 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.114 |