National Provider Identifier [NPI]: |
1518953694 |
Last Name Of The Provider |
DELL |
First Name Of The Provider |
JEFFREY |
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 |
100 E VALENCIA MESA DR |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
FULLERTON |
Zip Code Of The Provider |
928353813 |
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 |
78 |
Number Of Services |
6129 |
Number Of Medicare Beneficiaries |
1415 |
Total Submitted Charge Amount |
902322.05 |
Total Medicare Allowed Amount |
425133.37 |
Total Medicare Payment Amount |
316736.96 |
Total Medicare Standardized Payment Amount |
285889.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
261 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
63730.8 |
Total Drug Medicare AllowedAmount |
7152.56 |
Total Drug Medicare PaymentAmount |
5665.9 |
Total Drug Medicare Standardized Payment Amount |
5665.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
5868 |
Number Of Medicare Beneficiaries With Medical Services |
1415 |
Total Medical Submitted Charge Amount |
838591.25 |
Total Medical Medicare Allowed Amount |
417980.81 |
Total Medical Medicare Payment Amount |
311071.06 |
Total Medical Medicare Standardized Payment Amount |
280224.05 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
352 |
Number Of Beneficiaries Age 75 to 84 |
531 |
Number Of Beneficiaries Age Greater 84 |
451 |
Number Of Female Beneficiaries |
693 |
Number Of Male Beneficiaries |
722 |
Number Of Non Hispanic White Beneficiaries |
1124 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
123 |
Number Of Hispanic Beneficiaries |
132 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1173 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
242 |
Percent Of With Atrial Fibrillation |
47 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.8128 |