National Provider Identifier [NPI]: |
1518942283 |
Last Name Of The Provider |
CINK |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
515 E WASHINGTON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRESCENT CITY |
Zip Code Of The Provider |
955318342 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
5955 |
Number Of Medicare Beneficiaries |
1515 |
Total Submitted Charge Amount |
1965241.22 |
Total Medicare Allowed Amount |
1131842.79 |
Total Medicare Payment Amount |
836166.56 |
Total Medicare Standardized Payment Amount |
825451.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1466 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
674585 |
Total Drug Medicare AllowedAmount |
551393.59 |
Total Drug Medicare PaymentAmount |
429406.3 |
Total Drug Medicare Standardized Payment Amount |
429406.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
4489 |
Number Of Medicare Beneficiaries With Medical Services |
1515 |
Total Medical Submitted Charge Amount |
1290656.22 |
Total Medical Medicare Allowed Amount |
580449.2 |
Total Medical Medicare Payment Amount |
406760.26 |
Total Medical Medicare Standardized Payment Amount |
396044.81 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
600 |
Number Of Beneficiaries Age 75 to 84 |
563 |
Number Of Beneficiaries Age Greater 84 |
278 |
Number Of Female Beneficiaries |
907 |
Number Of Male Beneficiaries |
608 |
Number Of Non Hispanic White Beneficiaries |
1403 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
37 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1303 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0586 |