Medicare Facts for Dr. Carla N. McElroy, MD


National Provider Identifier [NPI]: 1548241599
Last Name Of The Provider MCELROY
First Name Of The Provider CARLA
Middle Initial Of The Provider N
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 9850 GENESEE AVENUE
Street Address 2 Of The Provider SUITE 370
City Of The Provider LA JOLLA
Zip Code Of The Provider 920371224
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider General Practice
Medicare Participation Indicator Y
Number Of HCPCS 32
Number Of Services 612
Number Of Medicare Beneficiaries 236
Total Submitted Charge Amount 71206
Total Medicare Allowed Amount 50342.32
Total Medicare Payment Amount 37918.12
Total Medicare Standardized Payment Amount 36406.41
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 36
Number Of Medicare Beneficiaries With Drug Services 29
Total Drug Submitted ChargeAmount 1878
Total Drug Medicare AllowedAmount 1374.05
Total Drug Medicare PaymentAmount 1340.2
Total Drug Medicare Standardized Payment Amount 1340.2
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 24
Number Of Medical Services 576
Number Of Medicare Beneficiaries With Medical Services 236
Total Medical Submitted Charge Amount 69328
Total Medical Medicare Allowed Amount 48968.27
Total Medical Medicare Payment Amount 36577.92
Total Medical Medicare Standardized Payment Amount 35066.21
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 105
Number Of Beneficiaries Age 75 to 84 73
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 201
Number Of Male Beneficiaries 35
Number Of Non Hispanic White Beneficiaries 220
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
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 10
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 5
Percent Of With Cancer 12
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 18
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 65
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9325

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