National Provider Identifier [NPI]: |
1427115088 |
Last Name Of The Provider |
MEALER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 S. SEPULVEDA BLVD. |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MANHATTAN BEACH |
Zip Code Of The Provider |
902666876 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
133 |
Number Of Services |
22230 |
Number Of Medicare Beneficiaries |
931 |
Total Submitted Charge Amount |
2483475.75 |
Total Medicare Allowed Amount |
1290732.8 |
Total Medicare Payment Amount |
992727.86 |
Total Medicare Standardized Payment Amount |
828768.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1008 |
Number Of Medicare Beneficiaries With Drug Services |
255 |
Total Drug Submitted ChargeAmount |
151420 |
Total Drug Medicare AllowedAmount |
112123.98 |
Total Drug Medicare PaymentAmount |
87589.45 |
Total Drug Medicare Standardized Payment Amount |
87589.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
21222 |
Number Of Medicare Beneficiaries With Medical Services |
931 |
Total Medical Submitted Charge Amount |
2332055.75 |
Total Medical Medicare Allowed Amount |
1178608.82 |
Total Medical Medicare Payment Amount |
905138.41 |
Total Medical Medicare Standardized Payment Amount |
741179.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
502 |
Number Of Beneficiaries Age 75 to 84 |
276 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
558 |
Number Of Male Beneficiaries |
373 |
Number Of Non Hispanic White Beneficiaries |
766 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
882 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8705 |