National Provider Identifier [NPI]: |
1720084049 |
Last Name Of The Provider |
BRESS |
First Name Of The Provider |
MARTIN |
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 |
930 SUNNYSLOPE RD |
Street Address 2 Of The Provider |
STE B1 |
City Of The Provider |
HOLLISTER |
Zip Code Of The Provider |
950235616 |
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 |
85 |
Number Of Services |
15401 |
Number Of Medicare Beneficiaries |
1399 |
Total Submitted Charge Amount |
613303 |
Total Medicare Allowed Amount |
445894.2 |
Total Medicare Payment Amount |
335042.6 |
Total Medicare Standardized Payment Amount |
325683.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
745 |
Number Of Medicare Beneficiaries With Drug Services |
417 |
Total Drug Submitted ChargeAmount |
35504 |
Total Drug Medicare AllowedAmount |
23937.61 |
Total Drug Medicare PaymentAmount |
22744.99 |
Total Drug Medicare Standardized Payment Amount |
22744.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
14656 |
Number Of Medicare Beneficiaries With Medical Services |
1399 |
Total Medical Submitted Charge Amount |
577799 |
Total Medical Medicare Allowed Amount |
421956.59 |
Total Medical Medicare Payment Amount |
312297.61 |
Total Medical Medicare Standardized Payment Amount |
302938.16 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
516 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
298 |
Number Of Female Beneficiaries |
760 |
Number Of Male Beneficiaries |
639 |
Number Of Non Hispanic White Beneficiaries |
857 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
490 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1026 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
373 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2499 |