National Provider Identifier [NPI]: |
1093729121 |
Last Name Of The Provider |
ZIMMERMAN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 WHIPPLE AVE |
Street Address 2 Of The Provider |
SUITE 225 |
City Of The Provider |
REDWOOD CITY |
Zip Code Of The Provider |
940622851 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
165 |
Number Of Services |
4874 |
Number Of Medicare Beneficiaries |
900 |
Total Submitted Charge Amount |
6798501.59 |
Total Medicare Allowed Amount |
817060.37 |
Total Medicare Payment Amount |
633702.05 |
Total Medicare Standardized Payment Amount |
552429.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
165 |
Number Of Medical Services |
4874 |
Number Of Medicare Beneficiaries With Medical Services |
900 |
Total Medical Submitted Charge Amount |
6798501.59 |
Total Medical Medicare Allowed Amount |
817060.37 |
Total Medical Medicare Payment Amount |
633702.05 |
Total Medical Medicare Standardized Payment Amount |
552429.38 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
333 |
Number Of Beneficiaries Age Greater 84 |
211 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
483 |
Number Of Non Hispanic White Beneficiaries |
740 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
776 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0489 |