National Provider Identifier [NPI]: |
1336156769 |
Last Name Of The Provider |
BLAND |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1198 PACIFIC COAST HWY |
Street Address 2 Of The Provider |
SUITE I |
City Of The Provider |
SEAL BEACH |
Zip Code Of The Provider |
907406251 |
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 |
62 |
Number Of Services |
750 |
Number Of Medicare Beneficiaries |
277 |
Total Submitted Charge Amount |
78284.85 |
Total Medicare Allowed Amount |
50582.46 |
Total Medicare Payment Amount |
35923.71 |
Total Medicare Standardized Payment Amount |
32520.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
116 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
2800.85 |
Total Drug Medicare AllowedAmount |
1481.85 |
Total Drug Medicare PaymentAmount |
1434.44 |
Total Drug Medicare Standardized Payment Amount |
1434.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
634 |
Number Of Medicare Beneficiaries With Medical Services |
277 |
Total Medical Submitted Charge Amount |
75484 |
Total Medical Medicare Allowed Amount |
49100.61 |
Total Medical Medicare Payment Amount |
34489.27 |
Total Medical Medicare Standardized Payment Amount |
31085.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
137 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
256 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8243 |