National Provider Identifier [NPI]: |
1538448949 |
Last Name Of The Provider |
GLAPA |
First Name Of The Provider |
GARRETT |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
NP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2806 TOWNSGATE RD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
WESTLAKE VILLAGE |
Zip Code Of The Provider |
913613064 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
5082 |
Number Of Medicare Beneficiaries |
134 |
Total Submitted Charge Amount |
442057.21 |
Total Medicare Allowed Amount |
233241.31 |
Total Medicare Payment Amount |
179917.07 |
Total Medicare Standardized Payment Amount |
167137.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
73 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
7543.59 |
Total Drug Medicare AllowedAmount |
4843.84 |
Total Drug Medicare PaymentAmount |
3797.77 |
Total Drug Medicare Standardized Payment Amount |
3797.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
5009 |
Number Of Medicare Beneficiaries With Medical Services |
134 |
Total Medical Submitted Charge Amount |
434513.62 |
Total Medical Medicare Allowed Amount |
228397.47 |
Total Medical Medicare Payment Amount |
176119.3 |
Total Medical Medicare Standardized Payment Amount |
163339.95 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
66 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
21 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9726 |