National Provider Identifier [NPI]: |
1952305971 |
Last Name Of The Provider |
MA |
First Name Of The Provider |
ADRIAN |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 JOSE FIGUERES AVE STE 215 |
Street Address 2 Of The Provider |
STE 215 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951161588 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
15090 |
Number Of Medicare Beneficiaries |
871 |
Total Submitted Charge Amount |
1694785 |
Total Medicare Allowed Amount |
1010742.6 |
Total Medicare Payment Amount |
774227.59 |
Total Medicare Standardized Payment Amount |
693721.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
9876 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
100585 |
Total Drug Medicare AllowedAmount |
26818.78 |
Total Drug Medicare PaymentAmount |
21198.3 |
Total Drug Medicare Standardized Payment Amount |
21198.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5214 |
Number Of Medicare Beneficiaries With Medical Services |
871 |
Total Medical Submitted Charge Amount |
1594200 |
Total Medical Medicare Allowed Amount |
983923.82 |
Total Medical Medicare Payment Amount |
753029.29 |
Total Medical Medicare Standardized Payment Amount |
672522.82 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
365 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
510 |
Number Of Male Beneficiaries |
361 |
Number Of Non Hispanic White Beneficiaries |
56 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
674 |
Number Of Hispanic Beneficiaries |
109 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
169 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
702 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6807 |