National Provider Identifier [NPI]: |
1669521076 |
Last Name Of The Provider |
MARSHALL |
First Name Of The Provider |
GINDER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
655 E QUEEN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
INGLEWOOD |
Zip Code Of The Provider |
903011930 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
7105 |
Number Of Medicare Beneficiaries |
328 |
Total Submitted Charge Amount |
663932 |
Total Medicare Allowed Amount |
389369.12 |
Total Medicare Payment Amount |
284765.82 |
Total Medicare Standardized Payment Amount |
263315.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1633 |
Number Of Medicare Beneficiaries With Drug Services |
291 |
Total Drug Submitted ChargeAmount |
65266 |
Total Drug Medicare AllowedAmount |
4673.39 |
Total Drug Medicare PaymentAmount |
3457.43 |
Total Drug Medicare Standardized Payment Amount |
3457.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
5472 |
Number Of Medicare Beneficiaries With Medical Services |
328 |
Total Medical Submitted Charge Amount |
598666 |
Total Medical Medicare Allowed Amount |
384695.73 |
Total Medical Medicare Payment Amount |
281308.39 |
Total Medical Medicare Standardized Payment Amount |
259858.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
44 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
291 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
192 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9512 |