National Provider Identifier [NPI]: |
1841381688 |
Last Name Of The Provider |
PARKS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8920 WILSHIRE BLVD |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902112007 |
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 |
58 |
Number Of Services |
19420 |
Number Of Medicare Beneficiaries |
968 |
Total Submitted Charge Amount |
5551690 |
Total Medicare Allowed Amount |
3179403.65 |
Total Medicare Payment Amount |
2487344.87 |
Total Medicare Standardized Payment Amount |
2405031.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
4150 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
1949654 |
Total Drug Medicare AllowedAmount |
1650090.27 |
Total Drug Medicare PaymentAmount |
1293668.14 |
Total Drug Medicare Standardized Payment Amount |
1293668.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
15270 |
Number Of Medicare Beneficiaries With Medical Services |
968 |
Total Medical Submitted Charge Amount |
3602036 |
Total Medical Medicare Allowed Amount |
1529313.38 |
Total Medical Medicare Payment Amount |
1193676.73 |
Total Medical Medicare Standardized Payment Amount |
1111363.62 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
306 |
Number Of Beneficiaries Age 75 to 84 |
348 |
Number Of Beneficiaries Age Greater 84 |
210 |
Number Of Female Beneficiaries |
511 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
646 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
80 |
Number Of Hispanic Beneficiaries |
152 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
735 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6931 |