National Provider Identifier [NPI]: |
1063553378 |
Last Name Of The Provider |
MOSIER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
265 LAGUNA RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FULLERTON |
Zip Code Of The Provider |
928352515 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3965 |
Number Of Medicare Beneficiaries |
1482 |
Total Submitted Charge Amount |
1093353 |
Total Medicare Allowed Amount |
469150.41 |
Total Medicare Payment Amount |
340975.18 |
Total Medicare Standardized Payment Amount |
301273.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3965 |
Number Of Medicare Beneficiaries With Medical Services |
1482 |
Total Medical Submitted Charge Amount |
1093353 |
Total Medical Medicare Allowed Amount |
469150.41 |
Total Medical Medicare Payment Amount |
340975.18 |
Total Medical Medicare Standardized Payment Amount |
301273.28 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
581 |
Number Of Beneficiaries Age 75 to 84 |
577 |
Number Of Beneficiaries Age Greater 84 |
288 |
Number Of Female Beneficiaries |
886 |
Number Of Male Beneficiaries |
596 |
Number Of Non Hispanic White Beneficiaries |
1208 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
104 |
Number Of Hispanic Beneficiaries |
116 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1427 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0361 |