National Provider Identifier [NPI]: |
1003878950 |
Last Name Of The Provider |
HAUSER |
First Name Of The Provider |
CHRISTIAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
P.A-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
469 W SKYLINE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LA HABRA HEIGHTS |
Zip Code Of The Provider |
906317774 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
426 |
Number Of Medicare Beneficiaries |
202 |
Total Submitted Charge Amount |
39778.82 |
Total Medicare Allowed Amount |
15759.28 |
Total Medicare Payment Amount |
11701.22 |
Total Medicare Standardized Payment Amount |
13338.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
87 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
203.76 |
Total Drug Medicare AllowedAmount |
117.99 |
Total Drug Medicare PaymentAmount |
92.54 |
Total Drug Medicare Standardized Payment Amount |
92.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
339 |
Number Of Medicare Beneficiaries With Medical Services |
202 |
Total Medical Submitted Charge Amount |
39575.06 |
Total Medical Medicare Allowed Amount |
15641.29 |
Total Medical Medicare Payment Amount |
11608.68 |
Total Medical Medicare Standardized Payment Amount |
13246.12 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
31 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
118 |
Number Of Male Beneficiaries |
84 |
Number Of Non Hispanic White Beneficiaries |
90 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
78 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3132 |