National Provider Identifier [NPI]: |
1831103381 |
Last Name Of The Provider |
BENGS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2910 JEFFERSON ST |
Street Address 2 Of The Provider |
#100 |
City Of The Provider |
CARLSBAD |
Zip Code Of The Provider |
920082356 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
2270 |
Number Of Medicare Beneficiaries |
433 |
Total Submitted Charge Amount |
146000 |
Total Medicare Allowed Amount |
112266.86 |
Total Medicare Payment Amount |
78696.16 |
Total Medicare Standardized Payment Amount |
75828.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
125 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
4599 |
Total Drug Medicare AllowedAmount |
2462.94 |
Total Drug Medicare PaymentAmount |
2410.93 |
Total Drug Medicare Standardized Payment Amount |
2410.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2145 |
Number Of Medicare Beneficiaries With Medical Services |
433 |
Total Medical Submitted Charge Amount |
141401 |
Total Medical Medicare Allowed Amount |
109803.92 |
Total Medical Medicare Payment Amount |
76285.23 |
Total Medical Medicare Standardized Payment Amount |
73417.77 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
263 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
368 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
374 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
26 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9474 |