National Provider Identifier [NPI]: |
1891890901 |
Last Name Of The Provider |
SALEK |
First Name Of The Provider |
MUNIF |
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 |
28078 BAXTER RD |
Street Address 2 Of The Provider |
#324 |
City Of The Provider |
MURRIETA |
Zip Code Of The Provider |
92563 |
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 |
29 |
Number Of Services |
2727 |
Number Of Medicare Beneficiaries |
594 |
Total Submitted Charge Amount |
395341.25 |
Total Medicare Allowed Amount |
302050.24 |
Total Medicare Payment Amount |
231736.2 |
Total Medicare Standardized Payment Amount |
225100.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
89 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
2250 |
Total Drug Medicare AllowedAmount |
1348.87 |
Total Drug Medicare PaymentAmount |
1320.52 |
Total Drug Medicare Standardized Payment Amount |
1320.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
2638 |
Number Of Medicare Beneficiaries With Medical Services |
594 |
Total Medical Submitted Charge Amount |
393091.25 |
Total Medical Medicare Allowed Amount |
300701.37 |
Total Medical Medicare Payment Amount |
230415.68 |
Total Medical Medicare Standardized Payment Amount |
223779.63 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
336 |
Number Of Male Beneficiaries |
258 |
Number Of Non Hispanic White Beneficiaries |
468 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
462 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
31 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
62 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0415 |