National Provider Identifier [NPI]: |
1518964105 |
Last Name Of The Provider |
WEINBERG |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2240 N. HARBOR BLVD. #200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FULLERTON |
Zip Code Of The Provider |
928352635 |
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 |
56 |
Number Of Services |
3684 |
Number Of Medicare Beneficiaries |
673 |
Total Submitted Charge Amount |
771785 |
Total Medicare Allowed Amount |
347756.57 |
Total Medicare Payment Amount |
260436.34 |
Total Medicare Standardized Payment Amount |
232945.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
248 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
19725 |
Total Drug Medicare AllowedAmount |
10027.08 |
Total Drug Medicare PaymentAmount |
7867.25 |
Total Drug Medicare Standardized Payment Amount |
7867.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3436 |
Number Of Medicare Beneficiaries With Medical Services |
673 |
Total Medical Submitted Charge Amount |
752060 |
Total Medical Medicare Allowed Amount |
337729.49 |
Total Medical Medicare Payment Amount |
252569.09 |
Total Medical Medicare Standardized Payment Amount |
225078.23 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
249 |
Number Of Beneficiaries Age 75 to 84 |
221 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
347 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
563 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
571 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6766 |