National Provider Identifier [NPI]: |
1265440317 |
Last Name Of The Provider |
SERRANO |
First Name Of The Provider |
WINSTON |
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 |
460 PLUMAS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959915005 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3254 |
Number Of Medicare Beneficiaries |
637 |
Total Submitted Charge Amount |
612557 |
Total Medicare Allowed Amount |
209969.99 |
Total Medicare Payment Amount |
145715.63 |
Total Medicare Standardized Payment Amount |
142366.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
709 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
15954 |
Total Drug Medicare AllowedAmount |
8609.59 |
Total Drug Medicare PaymentAmount |
7867.96 |
Total Drug Medicare Standardized Payment Amount |
7867.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2545 |
Number Of Medicare Beneficiaries With Medical Services |
637 |
Total Medical Submitted Charge Amount |
596603 |
Total Medical Medicare Allowed Amount |
201360.4 |
Total Medical Medicare Payment Amount |
137847.67 |
Total Medical Medicare Standardized Payment Amount |
134498.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
274 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
523 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
502 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2779 |