National Provider Identifier [NPI]: |
1245259241 |
Last Name Of The Provider |
TURKOT |
First Name Of The Provider |
LIANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
632 W GIBSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODLAND |
Zip Code Of The Provider |
95695 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
4791 |
Number Of Medicare Beneficiaries |
571 |
Total Submitted Charge Amount |
827466 |
Total Medicare Allowed Amount |
335890.66 |
Total Medicare Payment Amount |
233230.33 |
Total Medicare Standardized Payment Amount |
223904.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
493 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
19643 |
Total Drug Medicare AllowedAmount |
6106.52 |
Total Drug Medicare PaymentAmount |
5551.62 |
Total Drug Medicare Standardized Payment Amount |
5551.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4298 |
Number Of Medicare Beneficiaries With Medical Services |
571 |
Total Medical Submitted Charge Amount |
807823 |
Total Medical Medicare Allowed Amount |
329784.14 |
Total Medical Medicare Payment Amount |
227678.71 |
Total Medical Medicare Standardized Payment Amount |
218353.17 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
355 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
459 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
249 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0236 |