National Provider Identifier [NPI]: |
1710995063 |
Last Name Of The Provider |
HIGHTOWER |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23625 HOLMAN HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTEREY |
Zip Code Of The Provider |
939405902 |
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 |
263 |
Number Of Services |
6888 |
Number Of Medicare Beneficiaries |
3675 |
Total Submitted Charge Amount |
1197878 |
Total Medicare Allowed Amount |
248781.92 |
Total Medicare Payment Amount |
185199.85 |
Total Medicare Standardized Payment Amount |
182437.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
263 |
Number Of Medical Services |
6888 |
Number Of Medicare Beneficiaries With Medical Services |
3675 |
Total Medical Submitted Charge Amount |
1197878 |
Total Medical Medicare Allowed Amount |
248781.92 |
Total Medical Medicare Payment Amount |
185199.85 |
Total Medical Medicare Standardized Payment Amount |
182437.83 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
324 |
Number Of Beneficiaries Age 65 to 74 |
1339 |
Number Of Beneficiaries Age 75 to 84 |
1175 |
Number Of Beneficiaries Age Greater 84 |
837 |
Number Of Female Beneficiaries |
2201 |
Number Of Male Beneficiaries |
1474 |
Number Of Non Hispanic White Beneficiaries |
2903 |
Number Of Black or African American Beneficiaries |
180 |
Number Of AsianPacific Islander Beneficiaries |
227 |
Number Of Hispanic Beneficiaries |
243 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3091 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
584 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3889 |