National Provider Identifier [NPI]: |
1285652669 |
Last Name Of The Provider |
CASTRO |
First Name Of The Provider |
IRMA |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 N FRESNO ST |
Street Address 2 Of The Provider |
SUITE #220 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937033845 |
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 |
56 |
Number Of Services |
2660 |
Number Of Medicare Beneficiaries |
483 |
Total Submitted Charge Amount |
192931 |
Total Medicare Allowed Amount |
155327.87 |
Total Medicare Payment Amount |
102988.23 |
Total Medicare Standardized Payment Amount |
99642.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
389 |
Number Of Medicare Beneficiaries With Drug Services |
218 |
Total Drug Submitted ChargeAmount |
9124 |
Total Drug Medicare AllowedAmount |
6163.45 |
Total Drug Medicare PaymentAmount |
5989.88 |
Total Drug Medicare Standardized Payment Amount |
5989.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2271 |
Number Of Medicare Beneficiaries With Medical Services |
483 |
Total Medical Submitted Charge Amount |
183807 |
Total Medical Medicare Allowed Amount |
149164.42 |
Total Medical Medicare Payment Amount |
96998.35 |
Total Medical Medicare Standardized Payment Amount |
93652.97 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
336 |
Number Of Male Beneficiaries |
147 |
Number Of Non Hispanic White Beneficiaries |
132 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
302 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
93 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
390 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2254 |