National Provider Identifier [NPI]: |
1477504926 |
Last Name Of The Provider |
ARNOLD |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
323 N PRAIRIE AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
INGLEWOOD |
Zip Code Of The Provider |
903014502 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
15775 |
Number Of Medicare Beneficiaries |
845 |
Total Submitted Charge Amount |
771676.5 |
Total Medicare Allowed Amount |
279563.3 |
Total Medicare Payment Amount |
206796.7 |
Total Medicare Standardized Payment Amount |
191445.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
13840 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
188484 |
Total Drug Medicare AllowedAmount |
77701.87 |
Total Drug Medicare PaymentAmount |
60456.98 |
Total Drug Medicare Standardized Payment Amount |
60456.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1935 |
Number Of Medicare Beneficiaries With Medical Services |
845 |
Total Medical Submitted Charge Amount |
583192.5 |
Total Medical Medicare Allowed Amount |
201861.43 |
Total Medical Medicare Payment Amount |
146339.72 |
Total Medical Medicare Standardized Payment Amount |
130988.03 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
296 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
398 |
Number Of Non Hispanic White Beneficiaries |
477 |
Number Of Black or African American Beneficiaries |
200 |
Number Of AsianPacific Islander Beneficiaries |
102 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
558 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
287 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
31 |
Average HCC Risk Score Of Beneficiaries |
1.8019 |