National Provider Identifier [NPI]: |
1316949779 |
Last Name Of The Provider |
ARNOLD |
First Name Of The Provider |
COLIN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7501 HOSPITAL DR |
Street Address 2 Of The Provider |
#105 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958235405 |
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 |
55 |
Number Of Services |
7978 |
Number Of Medicare Beneficiaries |
1871 |
Total Submitted Charge Amount |
1508958 |
Total Medicare Allowed Amount |
1078579.69 |
Total Medicare Payment Amount |
790161.79 |
Total Medicare Standardized Payment Amount |
764488.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
524 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
104505 |
Total Drug Medicare AllowedAmount |
97802.83 |
Total Drug Medicare PaymentAmount |
76617.74 |
Total Drug Medicare Standardized Payment Amount |
76617.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
7454 |
Number Of Medicare Beneficiaries With Medical Services |
1871 |
Total Medical Submitted Charge Amount |
1404453 |
Total Medical Medicare Allowed Amount |
980776.86 |
Total Medical Medicare Payment Amount |
713544.05 |
Total Medical Medicare Standardized Payment Amount |
687870.53 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
201 |
Number Of Beneficiaries Age 65 to 74 |
799 |
Number Of Beneficiaries Age 75 to 84 |
640 |
Number Of Beneficiaries Age Greater 84 |
231 |
Number Of Female Beneficiaries |
1148 |
Number Of Male Beneficiaries |
723 |
Number Of Non Hispanic White Beneficiaries |
682 |
Number Of Black or African American Beneficiaries |
235 |
Number Of AsianPacific Islander Beneficiaries |
596 |
Number Of Hispanic Beneficiaries |
289 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1067 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
804 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1851 |