National Provider Identifier [NPI]: |
1700835675 |
Last Name Of The Provider |
RIGOR |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D., |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
675 S ARROYO PKWY |
Street Address 2 Of The Provider |
100 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911053263 |
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 |
63 |
Number Of Services |
3726 |
Number Of Medicare Beneficiaries |
876 |
Total Submitted Charge Amount |
543222 |
Total Medicare Allowed Amount |
370365.29 |
Total Medicare Payment Amount |
283056.97 |
Total Medicare Standardized Payment Amount |
261715.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
350 |
Total Drug Medicare AllowedAmount |
62.38 |
Total Drug Medicare PaymentAmount |
48.97 |
Total Drug Medicare Standardized Payment Amount |
48.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3691 |
Number Of Medicare Beneficiaries With Medical Services |
876 |
Total Medical Submitted Charge Amount |
542872 |
Total Medical Medicare Allowed Amount |
370302.91 |
Total Medical Medicare Payment Amount |
283008 |
Total Medical Medicare Standardized Payment Amount |
261666.79 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
203 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
432 |
Number Of Male Beneficiaries |
444 |
Number Of Non Hispanic White Beneficiaries |
489 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
81 |
Number Of Hispanic Beneficiaries |
194 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
83 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
793 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
67 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
51 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
3.2253 |