National Provider Identifier [NPI]: |
1467485474 |
Last Name Of The Provider |
TARRAR |
First Name Of The Provider |
AYMEL |
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 |
8001 MADISON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CITRUS HEIGHTS |
Zip Code Of The Provider |
956107901 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
1324 |
Number Of Medicare Beneficiaries |
292 |
Total Submitted Charge Amount |
274643 |
Total Medicare Allowed Amount |
93810.77 |
Total Medicare Payment Amount |
62190.41 |
Total Medicare Standardized Payment Amount |
59727.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
11562 |
Total Drug Medicare AllowedAmount |
3340.64 |
Total Drug Medicare PaymentAmount |
3210.62 |
Total Drug Medicare Standardized Payment Amount |
3210.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1160 |
Number Of Medicare Beneficiaries With Medical Services |
292 |
Total Medical Submitted Charge Amount |
263081 |
Total Medical Medicare Allowed Amount |
90470.13 |
Total Medical Medicare Payment Amount |
58979.79 |
Total Medical Medicare Standardized Payment Amount |
56517.07 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
175 |
Number Of Male Beneficiaries |
117 |
Number Of Non Hispanic White Beneficiaries |
235 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
233 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1001 |