National Provider Identifier [NPI]: |
1831262880 |
Last Name Of The Provider |
MARTINEZ |
First Name Of The Provider |
ARIEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1185 FREEDOM BLVD #1 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WATSONVILLE |
Zip Code Of The Provider |
95076 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3439 |
Number Of Medicare Beneficiaries |
556 |
Total Submitted Charge Amount |
344485 |
Total Medicare Allowed Amount |
291480.09 |
Total Medicare Payment Amount |
204121.17 |
Total Medicare Standardized Payment Amount |
197240.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
422 |
Number Of Medicare Beneficiaries With Drug Services |
301 |
Total Drug Submitted ChargeAmount |
25660 |
Total Drug Medicare AllowedAmount |
10319.46 |
Total Drug Medicare PaymentAmount |
10105.28 |
Total Drug Medicare Standardized Payment Amount |
10105.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
3017 |
Number Of Medicare Beneficiaries With Medical Services |
556 |
Total Medical Submitted Charge Amount |
318825 |
Total Medical Medicare Allowed Amount |
281160.63 |
Total Medical Medicare Payment Amount |
194015.89 |
Total Medical Medicare Standardized Payment Amount |
187134.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
280 |
Number Of Male Beneficiaries |
276 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
528 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
382 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2593 |