National Provider Identifier [NPI]: |
1821023755 |
Last Name Of The Provider |
HARRISON |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1299 NEWELL HILL PL |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945965292 |
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 |
38 |
Number Of Services |
6400 |
Number Of Medicare Beneficiaries |
1182 |
Total Submitted Charge Amount |
2651944 |
Total Medicare Allowed Amount |
997057.04 |
Total Medicare Payment Amount |
748056.31 |
Total Medicare Standardized Payment Amount |
694788.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
995 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
695264 |
Total Drug Medicare AllowedAmount |
360569.03 |
Total Drug Medicare PaymentAmount |
277242.49 |
Total Drug Medicare Standardized Payment Amount |
277242.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5405 |
Number Of Medicare Beneficiaries With Medical Services |
1182 |
Total Medical Submitted Charge Amount |
1956680 |
Total Medical Medicare Allowed Amount |
636488.01 |
Total Medical Medicare Payment Amount |
470813.82 |
Total Medical Medicare Standardized Payment Amount |
417545.74 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
369 |
Number Of Beneficiaries Age 75 to 84 |
386 |
Number Of Beneficiaries Age Greater 84 |
310 |
Number Of Female Beneficiaries |
692 |
Number Of Male Beneficiaries |
490 |
Number Of Non Hispanic White Beneficiaries |
826 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
93 |
Number Of Hispanic Beneficiaries |
170 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
884 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
298 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5869 |