National Provider Identifier [NPI]: |
1598721698 |
Last Name Of The Provider |
MEAD |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1950 UNIVERSITY AVE |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
E PALO ALTO |
Zip Code Of The Provider |
943032285 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
4548 |
Number Of Medicare Beneficiaries |
869 |
Total Submitted Charge Amount |
1936987 |
Total Medicare Allowed Amount |
633144.39 |
Total Medicare Payment Amount |
480641.16 |
Total Medicare Standardized Payment Amount |
431903.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
20396 |
Total Drug Medicare AllowedAmount |
9951.17 |
Total Drug Medicare PaymentAmount |
7801.67 |
Total Drug Medicare Standardized Payment Amount |
7801.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
4360 |
Number Of Medicare Beneficiaries With Medical Services |
869 |
Total Medical Submitted Charge Amount |
1916591 |
Total Medical Medicare Allowed Amount |
623193.22 |
Total Medical Medicare Payment Amount |
472839.49 |
Total Medical Medicare Standardized Payment Amount |
424102.21 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
318 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
364 |
Number Of Male Beneficiaries |
505 |
Number Of Non Hispanic White Beneficiaries |
778 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
833 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
46 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4487 |