National Provider Identifier [NPI]: |
1720136823 |
Last Name Of The Provider |
TOY |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
26732 CROWN VALLEY PKWY |
Street Address 2 Of The Provider |
STE 445 |
City Of The Provider |
MISSION VIEJO |
Zip Code Of The Provider |
926918522 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
4528 |
Number Of Medicare Beneficiaries |
1368 |
Total Submitted Charge Amount |
632761.88 |
Total Medicare Allowed Amount |
464114.27 |
Total Medicare Payment Amount |
333783.51 |
Total Medicare Standardized Payment Amount |
291211.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
490 |
Total Drug Medicare AllowedAmount |
87.3 |
Total Drug Medicare PaymentAmount |
67.04 |
Total Drug Medicare Standardized Payment Amount |
67.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4479 |
Number Of Medicare Beneficiaries With Medical Services |
1368 |
Total Medical Submitted Charge Amount |
632271.88 |
Total Medical Medicare Allowed Amount |
464026.97 |
Total Medical Medicare Payment Amount |
333716.47 |
Total Medical Medicare Standardized Payment Amount |
291144.76 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
686 |
Number Of Beneficiaries Age 75 to 84 |
470 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
669 |
Number Of Male Beneficiaries |
699 |
Number Of Non Hispanic White Beneficiaries |
1283 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9896 |