National Provider Identifier [NPI]: |
1821065574 |
Last Name Of The Provider |
VANGEMEREN |
First Name Of The Provider |
ARIE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2485 HIGH SCHOOL AVE |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
CONCORD |
Zip Code Of The Provider |
945201819 |
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 |
70 |
Number Of Services |
6361 |
Number Of Medicare Beneficiaries |
1097 |
Total Submitted Charge Amount |
904495.91 |
Total Medicare Allowed Amount |
433319.2 |
Total Medicare Payment Amount |
324489.73 |
Total Medicare Standardized Payment Amount |
290184.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3013 |
Number Of Medicare Beneficiaries With Drug Services |
83 |
Total Drug Submitted ChargeAmount |
23122.06 |
Total Drug Medicare AllowedAmount |
12821.18 |
Total Drug Medicare PaymentAmount |
9969.08 |
Total Drug Medicare Standardized Payment Amount |
9969.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3348 |
Number Of Medicare Beneficiaries With Medical Services |
1097 |
Total Medical Submitted Charge Amount |
881373.85 |
Total Medical Medicare Allowed Amount |
420498.02 |
Total Medical Medicare Payment Amount |
314520.65 |
Total Medical Medicare Standardized Payment Amount |
280215.89 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
363 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
534 |
Number Of Male Beneficiaries |
563 |
Number Of Non Hispanic White Beneficiaries |
798 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
62 |
Number Of Hispanic Beneficiaries |
133 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
803 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
294 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.893 |