Medicare Facts for Donald L. Williams


National Provider Identifier [NPI]: 1619164720
Last Name Of The Provider WILLIAMS
First Name Of The Provider DONALD
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1505 WILSON TER
Street Address 2 Of The Provider SUITE 155
City Of The Provider GLENDALE
Zip Code Of The Provider 912064071
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 13
Number Of Services 1125
Number Of Medicare Beneficiaries 328
Total Submitted Charge Amount 151955
Total Medicare Allowed Amount 130106.22
Total Medicare Payment Amount 99331.59
Total Medicare Standardized Payment Amount 93080.04
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 13
Number Of Medical Services 1125
Number Of Medicare Beneficiaries With Medical Services 328
Total Medical Submitted Charge Amount 151955
Total Medical Medicare Allowed Amount 130106.22
Total Medical Medicare Payment Amount 99331.59
Total Medical Medicare Standardized Payment Amount 93080.04
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 52
Number Of Beneficiaries Age 65 to 74 83
Number Of Beneficiaries Age 75 to 84 113
Number Of Beneficiaries Age Greater 84 80
Number Of Female Beneficiaries 148
Number Of Male Beneficiaries 180
Number Of Non Hispanic White Beneficiaries 184
Number Of Black or African American Beneficiaries 16
Number Of AsianPacific Islander Beneficiaries 36
Number Of Hispanic Beneficiaries 80
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 102
Number Of Beneficiaries With Medicare Medicaid Entitlement 226
Percent Of With Atrial Fibrillation 32
Percent Of With Alzheimers Disease or Dementia 34
Percent Of With Asthma 14
Percent Of With Cancer 12
Percent Of With Heart Failure 75
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 41
Percent Of With Depression 39
Percent Of With Diabetes 70
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 15
Percent Of With Stroke 16
Average HCC Risk Score Of Beneficiaries 4.7831

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