National Provider Identifier [NPI]: |
1841278967 |
Last Name Of The Provider |
JUMAO-AS |
First Name Of The Provider |
ASELA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7400 DISTRICT BLVD |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933134817 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
4435 |
Number Of Medicare Beneficiaries |
377 |
Total Submitted Charge Amount |
232975 |
Total Medicare Allowed Amount |
155172.47 |
Total Medicare Payment Amount |
118527.04 |
Total Medicare Standardized Payment Amount |
117937.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3505 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
35135 |
Total Drug Medicare AllowedAmount |
19241.61 |
Total Drug Medicare PaymentAmount |
14810.44 |
Total Drug Medicare Standardized Payment Amount |
14810.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
930 |
Number Of Medicare Beneficiaries With Medical Services |
377 |
Total Medical Submitted Charge Amount |
197840 |
Total Medical Medicare Allowed Amount |
135930.86 |
Total Medical Medicare Payment Amount |
103716.6 |
Total Medical Medicare Standardized Payment Amount |
103127.15 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
202 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
247 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
79 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
32 |
Average HCC Risk Score Of Beneficiaries |
2.5174 |