National Provider Identifier [NPI]: |
1093728503 |
Last Name Of The Provider |
FRISCH |
First Name Of The Provider |
DONNA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 S ANAHEIM HILLS RD |
Street Address 2 Of The Provider |
#206 |
City Of The Provider |
ANAHEIM HILLS |
Zip Code Of The Provider |
92807 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
6853 |
Number Of Medicare Beneficiaries |
411 |
Total Submitted Charge Amount |
520014.31 |
Total Medicare Allowed Amount |
318172.3 |
Total Medicare Payment Amount |
241018.49 |
Total Medicare Standardized Payment Amount |
221234.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
3104 |
Number Of Medicare Beneficiaries With Drug Services |
178 |
Total Drug Submitted ChargeAmount |
96786 |
Total Drug Medicare AllowedAmount |
50425.98 |
Total Drug Medicare PaymentAmount |
40018.72 |
Total Drug Medicare Standardized Payment Amount |
40018.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
3749 |
Number Of Medicare Beneficiaries With Medical Services |
411 |
Total Medical Submitted Charge Amount |
423228.31 |
Total Medical Medicare Allowed Amount |
267746.32 |
Total Medical Medicare Payment Amount |
200999.77 |
Total Medical Medicare Standardized Payment Amount |
181215.42 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
184 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
308 |
Number Of Male Beneficiaries |
103 |
Number Of Non Hispanic White Beneficiaries |
358 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1086 |