National Provider Identifier [NPI]: |
1437196250 |
Last Name Of The Provider |
ALANES |
First Name Of The Provider |
YVONNE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1711 W TEMPLE ST |
Street Address 2 Of The Provider |
5606 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900265421 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
6 |
Number Of Services |
607 |
Number Of Medicare Beneficiaries |
511 |
Total Submitted Charge Amount |
66250 |
Total Medicare Allowed Amount |
52397.81 |
Total Medicare Payment Amount |
37487.76 |
Total Medicare Standardized Payment Amount |
36168.96 |
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 |
6 |
Number Of Medical Services |
607 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
66250 |
Total Medical Medicare Allowed Amount |
52397.81 |
Total Medical Medicare Payment Amount |
37487.76 |
Total Medical Medicare Standardized Payment Amount |
36168.96 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
251 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
247 |
Number Of Black or African American Beneficiaries |
127 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
19 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
492 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
53 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
63 |
Percent Of With Depression |
75 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
75 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
3.0873 |