National Provider Identifier [NPI]: |
1144252388 |
Last Name Of The Provider |
SCHEINBERG |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3613 VISTA WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCEANSIDE |
Zip Code Of The Provider |
92056 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
9360 |
Number Of Medicare Beneficiaries |
1148 |
Total Submitted Charge Amount |
1525548.22 |
Total Medicare Allowed Amount |
880524.42 |
Total Medicare Payment Amount |
671284.91 |
Total Medicare Standardized Payment Amount |
617844.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
153 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
21300 |
Total Drug Medicare AllowedAmount |
13070.74 |
Total Drug Medicare PaymentAmount |
10243.49 |
Total Drug Medicare Standardized Payment Amount |
10243.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
9207 |
Number Of Medicare Beneficiaries With Medical Services |
1148 |
Total Medical Submitted Charge Amount |
1504248.22 |
Total Medical Medicare Allowed Amount |
867453.68 |
Total Medical Medicare Payment Amount |
661041.42 |
Total Medical Medicare Standardized Payment Amount |
607601.18 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
494 |
Number Of Beneficiaries Age 75 to 84 |
384 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
611 |
Number Of Male Beneficiaries |
537 |
Number Of Non Hispanic White Beneficiaries |
1046 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1095 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0422 |