National Provider Identifier [NPI]: |
1235236662 |
Last Name Of The Provider |
ABELS |
First Name Of The Provider |
GLORIA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2280 HARRISON AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
EUREKA |
Zip Code Of The Provider |
955013200 |
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 |
139 |
Number Of Services |
18053 |
Number Of Medicare Beneficiaries |
1159 |
Total Submitted Charge Amount |
1034075.79 |
Total Medicare Allowed Amount |
519029.26 |
Total Medicare Payment Amount |
410681.26 |
Total Medicare Standardized Payment Amount |
399538.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
5456 |
Number Of Medicare Beneficiaries With Drug Services |
454 |
Total Drug Submitted ChargeAmount |
138185.15 |
Total Drug Medicare AllowedAmount |
77040.82 |
Total Drug Medicare PaymentAmount |
66288.97 |
Total Drug Medicare Standardized Payment Amount |
66288.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
12597 |
Number Of Medicare Beneficiaries With Medical Services |
1159 |
Total Medical Submitted Charge Amount |
895890.64 |
Total Medical Medicare Allowed Amount |
441988.44 |
Total Medical Medicare Payment Amount |
344392.29 |
Total Medical Medicare Standardized Payment Amount |
333249.81 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
464 |
Number Of Beneficiaries Age 75 to 84 |
355 |
Number Of Beneficiaries Age Greater 84 |
271 |
Number Of Female Beneficiaries |
755 |
Number Of Male Beneficiaries |
404 |
Number Of Non Hispanic White Beneficiaries |
1084 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1044 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
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 |
1.2379 |