National Provider Identifier [NPI]: |
1952390395 |
Last Name Of The Provider |
HUNTER |
First Name Of The Provider |
NEALA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
415 OLD NEWPORT BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926634248 |
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 |
107 |
Number Of Services |
6812 |
Number Of Medicare Beneficiaries |
746 |
Total Submitted Charge Amount |
1143357.28 |
Total Medicare Allowed Amount |
658618.34 |
Total Medicare Payment Amount |
504245.43 |
Total Medicare Standardized Payment Amount |
474902.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
491 |
Number Of Medicare Beneficiaries With Drug Services |
130 |
Total Drug Submitted ChargeAmount |
70934.44 |
Total Drug Medicare AllowedAmount |
24489.91 |
Total Drug Medicare PaymentAmount |
18988.69 |
Total Drug Medicare Standardized Payment Amount |
18988.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
6321 |
Number Of Medicare Beneficiaries With Medical Services |
746 |
Total Medical Submitted Charge Amount |
1072422.84 |
Total Medical Medicare Allowed Amount |
634128.43 |
Total Medical Medicare Payment Amount |
485256.74 |
Total Medical Medicare Standardized Payment Amount |
455914.17 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
170 |
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
686 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
690 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
50 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6961 |