National Provider Identifier [NPI]: |
1629383344 |
Last Name Of The Provider |
BLINDER |
First Name Of The Provider |
ALLA |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
D.O |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7551 MADISON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CITRUS HEIGHTS |
Zip Code Of The Provider |
956107449 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
2265 |
Number Of Medicare Beneficiaries |
439 |
Total Submitted Charge Amount |
245333 |
Total Medicare Allowed Amount |
141163.16 |
Total Medicare Payment Amount |
96927.51 |
Total Medicare Standardized Payment Amount |
94176.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
421 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
8234 |
Total Drug Medicare AllowedAmount |
4514.77 |
Total Drug Medicare PaymentAmount |
4330.76 |
Total Drug Medicare Standardized Payment Amount |
4330.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1844 |
Number Of Medicare Beneficiaries With Medical Services |
439 |
Total Medical Submitted Charge Amount |
237099 |
Total Medical Medicare Allowed Amount |
136648.39 |
Total Medical Medicare Payment Amount |
92596.75 |
Total Medical Medicare Standardized Payment Amount |
89845.87 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
290 |
Number Of Male Beneficiaries |
149 |
Number Of Non Hispanic White Beneficiaries |
359 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
315 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1779 |