National Provider Identifier [NPI]: |
1922027630 |
Last Name Of The Provider |
GIRON |
First Name Of The Provider |
ANDRES |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 MARIN ST |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
THOUSAND OAKS |
Zip Code Of The Provider |
913604236 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
5150 |
Number Of Medicare Beneficiaries |
1036 |
Total Submitted Charge Amount |
469405 |
Total Medicare Allowed Amount |
401470.15 |
Total Medicare Payment Amount |
311237.05 |
Total Medicare Standardized Payment Amount |
288185.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
94 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
9020 |
Total Drug Medicare AllowedAmount |
7339.01 |
Total Drug Medicare PaymentAmount |
7191.95 |
Total Drug Medicare Standardized Payment Amount |
7191.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
5056 |
Number Of Medicare Beneficiaries With Medical Services |
1036 |
Total Medical Submitted Charge Amount |
460385 |
Total Medical Medicare Allowed Amount |
394131.14 |
Total Medical Medicare Payment Amount |
304045.1 |
Total Medical Medicare Standardized Payment Amount |
280993.65 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
412 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
537 |
Number Of Male Beneficiaries |
499 |
Number Of Non Hispanic White Beneficiaries |
926 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
968 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6181 |