National Provider Identifier [NPI]: |
1861505265 |
Last Name Of The Provider |
PARAZO |
First Name Of The Provider |
DON |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
43839 N 15TH ST WEST |
Street Address 2 Of The Provider |
HIGH DESERT MEDICAL GROUP |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
93534 |
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 |
50 |
Number Of Services |
725 |
Number Of Medicare Beneficiaries |
125 |
Total Submitted Charge Amount |
43021.68 |
Total Medicare Allowed Amount |
36404.15 |
Total Medicare Payment Amount |
24727.47 |
Total Medicare Standardized Payment Amount |
23306.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
125 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
2337.75 |
Total Drug Medicare AllowedAmount |
1458.71 |
Total Drug Medicare PaymentAmount |
1404.48 |
Total Drug Medicare Standardized Payment Amount |
1404.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
600 |
Number Of Medicare Beneficiaries With Medical Services |
125 |
Total Medical Submitted Charge Amount |
40683.93 |
Total Medical Medicare Allowed Amount |
34945.44 |
Total Medical Medicare Payment Amount |
23322.99 |
Total Medical Medicare Standardized Payment Amount |
21902.19 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
70 |
Number Of Beneficiaries Age 75 to 84 |
22 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
61 |
Number Of Male Beneficiaries |
64 |
Number Of Non Hispanic White Beneficiaries |
90 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
107 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
10 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9703 |