Medicare Facts for Fernando O. Martinez, HAD


National Provider Identifier [NPI]: 1962591198
Last Name Of The Provider MARTINEZ
First Name Of The Provider FERNANDO
Middle Initial Of The Provider G
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1201 W LA VETA AVE
Street Address 2 Of The Provider 700
City Of The Provider ORANGE
Zip Code Of The Provider 928684213
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 64
Number Of Services 875
Number Of Medicare Beneficiaries 162
Total Submitted Charge Amount 76995
Total Medicare Allowed Amount 49578.65
Total Medicare Payment Amount 35354.98
Total Medicare Standardized Payment Amount 31668.67
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 58
Number Of Medicare Beneficiaries With Drug Services 35
Total Drug Submitted ChargeAmount 2465
Total Drug Medicare AllowedAmount 1157.5
Total Drug Medicare PaymentAmount 1123.43
Total Drug Medicare Standardized Payment Amount 1123.43
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 55
Number Of Medical Services 817
Number Of Medicare Beneficiaries With Medical Services 162
Total Medical Submitted Charge Amount 74530
Total Medical Medicare Allowed Amount 48421.15
Total Medical Medicare Payment Amount 34231.55
Total Medical Medicare Standardized Payment Amount 30545.24
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 32
Number Of Beneficiaries Age 65 to 74 88
Number Of Beneficiaries Age 75 to 84 30
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 99
Number Of Male Beneficiaries 63
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 113
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 71
Number Of Beneficiaries With Medicare Medicaid Entitlement 91
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 9
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 21
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 54
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4357

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