National Provider Identifier [NPI]: |
1225010663 |
Last Name Of The Provider |
MORGUELAN |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. INC. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 S ALVARADO ST |
Street Address 2 Of The Provider |
#602 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900572320 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
1538 |
Number Of Medicare Beneficiaries |
252 |
Total Submitted Charge Amount |
540601.4 |
Total Medicare Allowed Amount |
167703.75 |
Total Medicare Payment Amount |
128026.58 |
Total Medicare Standardized Payment Amount |
119462.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
6200 |
Total Drug Medicare AllowedAmount |
253.28 |
Total Drug Medicare PaymentAmount |
198.59 |
Total Drug Medicare Standardized Payment Amount |
198.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
1414 |
Number Of Medicare Beneficiaries With Medical Services |
252 |
Total Medical Submitted Charge Amount |
534401.4 |
Total Medical Medicare Allowed Amount |
167450.47 |
Total Medical Medicare Payment Amount |
127827.99 |
Total Medical Medicare Standardized Payment Amount |
119264.03 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
114 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
145 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
48 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
145 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
56 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.85 |