National Provider Identifier [NPI]: |
1639174816 |
Last Name Of The Provider |
ANTEBI |
First Name Of The Provider |
ALON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
42135 10TH ST W |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
935347095 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
4445 |
Number Of Medicare Beneficiaries |
762 |
Total Submitted Charge Amount |
2385575 |
Total Medicare Allowed Amount |
552920.69 |
Total Medicare Payment Amount |
425631.16 |
Total Medicare Standardized Payment Amount |
393692.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1020 |
Number Of Medicare Beneficiaries With Drug Services |
190 |
Total Drug Submitted ChargeAmount |
27360 |
Total Drug Medicare AllowedAmount |
11264.67 |
Total Drug Medicare PaymentAmount |
8797.15 |
Total Drug Medicare Standardized Payment Amount |
8797.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
3425 |
Number Of Medicare Beneficiaries With Medical Services |
761 |
Total Medical Submitted Charge Amount |
2358215 |
Total Medical Medicare Allowed Amount |
541656.02 |
Total Medical Medicare Payment Amount |
416834.01 |
Total Medical Medicare Standardized Payment Amount |
384895.38 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
241 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
281 |
Number Of Non Hispanic White Beneficiaries |
488 |
Number Of Black or African American Beneficiaries |
108 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
137 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
433 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
329 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6882 |