National Provider Identifier [NPI]: |
1467496778 |
Last Name Of The Provider |
RUFFIN |
First Name Of The Provider |
DIRK |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
26516 CRENSHAW BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALOS VERDES ESTATES |
Zip Code Of The Provider |
902743970 |
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 |
93 |
Number Of Services |
2638 |
Number Of Medicare Beneficiaries |
683 |
Total Submitted Charge Amount |
184622 |
Total Medicare Allowed Amount |
134571.47 |
Total Medicare Payment Amount |
95825.1 |
Total Medicare Standardized Payment Amount |
89612.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
467 |
Number Of Medicare Beneficiaries With Drug Services |
173 |
Total Drug Submitted ChargeAmount |
11765 |
Total Drug Medicare AllowedAmount |
3774.99 |
Total Drug Medicare PaymentAmount |
3568.87 |
Total Drug Medicare Standardized Payment Amount |
3568.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
2171 |
Number Of Medicare Beneficiaries With Medical Services |
682 |
Total Medical Submitted Charge Amount |
172857 |
Total Medical Medicare Allowed Amount |
130796.48 |
Total Medical Medicare Payment Amount |
92256.23 |
Total Medical Medicare Standardized Payment Amount |
86044 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
415 |
Number Of Male Beneficiaries |
268 |
Number Of Non Hispanic White Beneficiaries |
571 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
52 |
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
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 |
0.9243 |