National Provider Identifier [NPI]: |
1861480857 |
Last Name Of The Provider |
CECCHI |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2001 DWIGHT WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BERKELEY |
Zip Code Of The Provider |
947042608 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
234528 |
Number Of Medicare Beneficiaries |
1068 |
Total Submitted Charge Amount |
5911063.77 |
Total Medicare Allowed Amount |
3795746.17 |
Total Medicare Payment Amount |
2953542.38 |
Total Medicare Standardized Payment Amount |
2852605.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
60 |
Number Of Drug Services |
220969 |
Number Of Medicare Beneficiaries With Drug Services |
153 |
Total Drug Submitted ChargeAmount |
3388841.77 |
Total Drug Medicare AllowedAmount |
2715389.97 |
Total Drug Medicare PaymentAmount |
2126521.39 |
Total Drug Medicare Standardized Payment Amount |
2126521.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
13559 |
Number Of Medicare Beneficiaries With Medical Services |
1068 |
Total Medical Submitted Charge Amount |
2522222 |
Total Medical Medicare Allowed Amount |
1080356.2 |
Total Medical Medicare Payment Amount |
827020.99 |
Total Medical Medicare Standardized Payment Amount |
726084.05 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
341 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
637 |
Number Of Male Beneficiaries |
431 |
Number Of Non Hispanic White Beneficiaries |
578 |
Number Of Black or African American Beneficiaries |
265 |
Number Of AsianPacific Islander Beneficiaries |
139 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
751 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
317 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
42 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9707 |