National Provider Identifier [NPI]: |
1861685786 |
Last Name Of The Provider |
CESAR |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2517 CANAL ST STE 1 |
Street Address 2 Of The Provider |
|
City Of The Provider |
MERCED |
Zip Code Of The Provider |
953402830 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
11863 |
Number Of Medicare Beneficiaries |
1501 |
Total Submitted Charge Amount |
2311308 |
Total Medicare Allowed Amount |
915295.87 |
Total Medicare Payment Amount |
686770.9 |
Total Medicare Standardized Payment Amount |
665928.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2672 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
451713 |
Total Drug Medicare AllowedAmount |
133485.96 |
Total Drug Medicare PaymentAmount |
103824.92 |
Total Drug Medicare Standardized Payment Amount |
103824.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
9191 |
Number Of Medicare Beneficiaries With Medical Services |
1501 |
Total Medical Submitted Charge Amount |
1859595 |
Total Medical Medicare Allowed Amount |
781809.91 |
Total Medical Medicare Payment Amount |
582945.98 |
Total Medical Medicare Standardized Payment Amount |
562103.95 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
612 |
Number Of Beneficiaries Age 75 to 84 |
528 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
1113 |
Number Of Non Hispanic White Beneficiaries |
849 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
527 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
985 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
516 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2599 |