National Provider Identifier [NPI]: |
1285854778 |
Last Name Of The Provider |
SALKINDER |
First Name Of The Provider |
GUSTAV |
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 |
6360 WILSHIRE BLVD |
Street Address 2 Of The Provider |
#102 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900485603 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
20555 |
Number Of Medicare Beneficiaries |
741 |
Total Submitted Charge Amount |
1204907 |
Total Medicare Allowed Amount |
754260.27 |
Total Medicare Payment Amount |
590636.9 |
Total Medicare Standardized Payment Amount |
542507.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
14428 |
Number Of Medicare Beneficiaries With Drug Services |
504 |
Total Drug Submitted ChargeAmount |
281965 |
Total Drug Medicare AllowedAmount |
219436.39 |
Total Drug Medicare PaymentAmount |
171899.48 |
Total Drug Medicare Standardized Payment Amount |
171899.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
6127 |
Number Of Medicare Beneficiaries With Medical Services |
741 |
Total Medical Submitted Charge Amount |
922942 |
Total Medical Medicare Allowed Amount |
534823.88 |
Total Medical Medicare Payment Amount |
418737.42 |
Total Medical Medicare Standardized Payment Amount |
370607.67 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
486 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
632 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
48 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
693 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.556 |