National Provider Identifier [NPI]: |
1760487227 |
Last Name Of The Provider |
ANDERSON |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
900 S ELISEO DR |
Street Address 2 Of The Provider |
STE 102 |
City Of The Provider |
GREENBRAE |
Zip Code Of The Provider |
949042152 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
3106 |
Number Of Medicare Beneficiaries |
1885 |
Total Submitted Charge Amount |
553897.5 |
Total Medicare Allowed Amount |
491350.1 |
Total Medicare Payment Amount |
344060.54 |
Total Medicare Standardized Payment Amount |
304470.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
3106 |
Number Of Medicare Beneficiaries With Medical Services |
1885 |
Total Medical Submitted Charge Amount |
553897.5 |
Total Medical Medicare Allowed Amount |
491350.1 |
Total Medical Medicare Payment Amount |
344060.54 |
Total Medical Medicare Standardized Payment Amount |
304470.01 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
800 |
Number Of Beneficiaries Age 75 to 84 |
670 |
Number Of Beneficiaries Age Greater 84 |
366 |
Number Of Female Beneficiaries |
1123 |
Number Of Male Beneficiaries |
762 |
Number Of Non Hispanic White Beneficiaries |
1745 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
1769 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8685 |