National Provider Identifier [NPI]: |
1952358632 |
Last Name Of The Provider |
TRIFFON |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10820 N TORREY PINES RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LA JOLLA |
Zip Code Of The Provider |
920371036 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
4787 |
Number Of Medicare Beneficiaries |
1963 |
Total Submitted Charge Amount |
772245.8 |
Total Medicare Allowed Amount |
256036.16 |
Total Medicare Payment Amount |
189115.52 |
Total Medicare Standardized Payment Amount |
182173.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
927 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
17389.8 |
Total Drug Medicare AllowedAmount |
4648.61 |
Total Drug Medicare PaymentAmount |
3609.24 |
Total Drug Medicare Standardized Payment Amount |
3609.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3860 |
Number Of Medicare Beneficiaries With Medical Services |
1963 |
Total Medical Submitted Charge Amount |
754856 |
Total Medical Medicare Allowed Amount |
251387.55 |
Total Medical Medicare Payment Amount |
185506.28 |
Total Medical Medicare Standardized Payment Amount |
178564.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
857 |
Number Of Beneficiaries Age 75 to 84 |
661 |
Number Of Beneficiaries Age Greater 84 |
354 |
Number Of Female Beneficiaries |
918 |
Number Of Male Beneficiaries |
1045 |
Number Of Non Hispanic White Beneficiaries |
1683 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
101 |
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
1821 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3074 |