National Provider Identifier [NPI]: |
1902939408 |
Last Name Of The Provider |
MAZZONE |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
47 SANTA ROSA ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN LUIS OBISPO |
Zip Code Of The Provider |
934055816 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
10319.5 |
Number Of Medicare Beneficiaries |
1076 |
Total Submitted Charge Amount |
708467.62 |
Total Medicare Allowed Amount |
451872.83 |
Total Medicare Payment Amount |
321599.73 |
Total Medicare Standardized Payment Amount |
314595.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
605.5 |
Number Of Medicare Beneficiaries With Drug Services |
273 |
Total Drug Submitted ChargeAmount |
13353 |
Total Drug Medicare AllowedAmount |
4232.42 |
Total Drug Medicare PaymentAmount |
3901.46 |
Total Drug Medicare Standardized Payment Amount |
3901.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
9714 |
Number Of Medicare Beneficiaries With Medical Services |
1076 |
Total Medical Submitted Charge Amount |
695114.62 |
Total Medical Medicare Allowed Amount |
447640.41 |
Total Medical Medicare Payment Amount |
317698.27 |
Total Medical Medicare Standardized Payment Amount |
310693.8 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
572 |
Number Of Beneficiaries Age 75 to 84 |
258 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
585 |
Number Of Male Beneficiaries |
491 |
Number Of Non Hispanic White Beneficiaries |
1006 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1023 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.852 |