National Provider Identifier [NPI]: |
1386640522 |
Last Name Of The Provider |
SHANDLING |
First Name Of The Provider |
ADRIAN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3801 KATELLA AVE |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
LOS ALAMITOS |
Zip Code Of The Provider |
907203375 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
16968 |
Number Of Medicare Beneficiaries |
749 |
Total Submitted Charge Amount |
1174270 |
Total Medicare Allowed Amount |
807194.82 |
Total Medicare Payment Amount |
633010.95 |
Total Medicare Standardized Payment Amount |
576881.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
881 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
42016 |
Total Drug Medicare AllowedAmount |
31466.58 |
Total Drug Medicare PaymentAmount |
24789.13 |
Total Drug Medicare Standardized Payment Amount |
24789.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
16087 |
Number Of Medicare Beneficiaries With Medical Services |
749 |
Total Medical Submitted Charge Amount |
1132254 |
Total Medical Medicare Allowed Amount |
775728.24 |
Total Medical Medicare Payment Amount |
608221.82 |
Total Medical Medicare Standardized Payment Amount |
552092.52 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
258 |
Number Of Beneficiaries Age 75 to 84 |
274 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
408 |
Number Of Male Beneficiaries |
341 |
Number Of Non Hispanic White Beneficiaries |
573 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
636 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7829 |