National Provider Identifier [NPI]: |
1972763878 |
Last Name Of The Provider |
PARKER |
First Name Of The Provider |
HUGH |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2773 HARRIS ST |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
EUREKA |
Zip Code Of The Provider |
955034866 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4559 |
Number Of Medicare Beneficiaries |
1424 |
Total Submitted Charge Amount |
1666724.92 |
Total Medicare Allowed Amount |
574019.67 |
Total Medicare Payment Amount |
436722.14 |
Total Medicare Standardized Payment Amount |
421201.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
716 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
366592 |
Total Drug Medicare AllowedAmount |
37889.05 |
Total Drug Medicare PaymentAmount |
29597.96 |
Total Drug Medicare Standardized Payment Amount |
29597.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3843 |
Number Of Medicare Beneficiaries With Medical Services |
1424 |
Total Medical Submitted Charge Amount |
1300132.92 |
Total Medical Medicare Allowed Amount |
536130.62 |
Total Medical Medicare Payment Amount |
407124.18 |
Total Medical Medicare Standardized Payment Amount |
391603.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
561 |
Number Of Beneficiaries Age 75 to 84 |
466 |
Number Of Beneficiaries Age Greater 84 |
228 |
Number Of Female Beneficiaries |
723 |
Number Of Male Beneficiaries |
701 |
Number Of Non Hispanic White Beneficiaries |
1276 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
64 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1104 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
320 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4675 |