National Provider Identifier [NPI]: |
1437340973 |
Last Name Of The Provider |
GALLI |
First Name Of The Provider |
CLAUDIA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
475 PIONEER AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
WOODLAND |
Zip Code Of The Provider |
957764905 |
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 |
28 |
Number Of Services |
485 |
Number Of Medicare Beneficiaries |
129 |
Total Submitted Charge Amount |
105855 |
Total Medicare Allowed Amount |
36533.96 |
Total Medicare Payment Amount |
27135.76 |
Total Medicare Standardized Payment Amount |
26170.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
70 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
2900 |
Total Drug Medicare AllowedAmount |
1862.66 |
Total Drug Medicare PaymentAmount |
1823.65 |
Total Drug Medicare Standardized Payment Amount |
1823.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
415 |
Number Of Medicare Beneficiaries With Medical Services |
129 |
Total Medical Submitted Charge Amount |
102955 |
Total Medical Medicare Allowed Amount |
34671.3 |
Total Medical Medicare Payment Amount |
25312.11 |
Total Medical Medicare Standardized Payment Amount |
24347.13 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
56 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
85 |
Number Of Male Beneficiaries |
44 |
Number Of Non Hispanic White Beneficiaries |
93 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
98 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0149 |