National Provider Identifier [NPI]: |
1144315797 |
Last Name Of The Provider |
HAN |
First Name Of The Provider |
GENE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3224 W OLYMPIC BLVD |
Street Address 2 Of The Provider |
#203 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900062317 |
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 |
60 |
Number Of Services |
7532 |
Number Of Medicare Beneficiaries |
803 |
Total Submitted Charge Amount |
894056.8 |
Total Medicare Allowed Amount |
540001.33 |
Total Medicare Payment Amount |
409931.51 |
Total Medicare Standardized Payment Amount |
365272.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2946 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
27960 |
Total Drug Medicare AllowedAmount |
18901.65 |
Total Drug Medicare PaymentAmount |
14818.8 |
Total Drug Medicare Standardized Payment Amount |
14818.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4586 |
Number Of Medicare Beneficiaries With Medical Services |
803 |
Total Medical Submitted Charge Amount |
866096.8 |
Total Medical Medicare Allowed Amount |
521099.68 |
Total Medical Medicare Payment Amount |
395112.71 |
Total Medical Medicare Standardized Payment Amount |
350453.88 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
285 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
753 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
691 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2615 |