National Provider Identifier [NPI]: |
1174596969 |
Last Name Of The Provider |
CAFARO |
First Name Of The Provider |
VIRGINIA |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
45 CASTRO ST |
Street Address 2 Of The Provider |
SUITE 423 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941141010 |
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 |
25 |
Number Of Services |
517 |
Number Of Medicare Beneficiaries |
116 |
Total Submitted Charge Amount |
72592 |
Total Medicare Allowed Amount |
50999.19 |
Total Medicare Payment Amount |
36766.41 |
Total Medicare Standardized Payment Amount |
30991.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
55 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
3810 |
Total Drug Medicare AllowedAmount |
2225.06 |
Total Drug Medicare PaymentAmount |
2162.5 |
Total Drug Medicare Standardized Payment Amount |
2162.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
462 |
Number Of Medicare Beneficiaries With Medical Services |
116 |
Total Medical Submitted Charge Amount |
68782 |
Total Medical Medicare Allowed Amount |
48774.13 |
Total Medical Medicare Payment Amount |
34603.91 |
Total Medical Medicare Standardized Payment Amount |
28829.14 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
38 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
28 |
Number Of Male Beneficiaries |
88 |
Number Of Non Hispanic White Beneficiaries |
92 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
75 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
38 |
Percent Of With Diabetes |
11 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
36 |
Percent Of With Ischemic Heart Disease |
13 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
19 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5308 |