National Provider Identifier [NPI]: |
1952346348 |
Last Name Of The Provider |
FRISHBERG |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3907 WARING RD |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
OCEANSIDE |
Zip Code Of The Provider |
920564454 |
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 |
59 |
Number Of Services |
16526 |
Number Of Medicare Beneficiaries |
803 |
Total Submitted Charge Amount |
363594.85 |
Total Medicare Allowed Amount |
267917.55 |
Total Medicare Payment Amount |
199412.69 |
Total Medicare Standardized Payment Amount |
194937 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
14900 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
87142.6 |
Total Drug Medicare AllowedAmount |
82618.55 |
Total Drug Medicare PaymentAmount |
63885.38 |
Total Drug Medicare Standardized Payment Amount |
63885.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
1626 |
Number Of Medicare Beneficiaries With Medical Services |
803 |
Total Medical Submitted Charge Amount |
276452.25 |
Total Medical Medicare Allowed Amount |
185299 |
Total Medical Medicare Payment Amount |
135527.31 |
Total Medical Medicare Standardized Payment Amount |
131051.62 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
289 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
440 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
692 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
674 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.3403 |