National Provider Identifier [NPI]: |
1770554669 |
Last Name Of The Provider |
RODRIGUEZ |
First Name Of The Provider |
HECTOR |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D., |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
414 N CAMDEN DR |
Street Address 2 Of The Provider |
STE# 775 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902104532 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3631 |
Number Of Medicare Beneficiaries |
267 |
Total Submitted Charge Amount |
648440 |
Total Medicare Allowed Amount |
322233.44 |
Total Medicare Payment Amount |
247981.92 |
Total Medicare Standardized Payment Amount |
232758.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1408 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
22230 |
Total Drug Medicare AllowedAmount |
16128.18 |
Total Drug Medicare PaymentAmount |
12721.1 |
Total Drug Medicare Standardized Payment Amount |
12721.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2223 |
Number Of Medicare Beneficiaries With Medical Services |
267 |
Total Medical Submitted Charge Amount |
626210 |
Total Medical Medicare Allowed Amount |
306105.26 |
Total Medical Medicare Payment Amount |
235260.82 |
Total Medical Medicare Standardized Payment Amount |
220037.09 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
137 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
101 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
114 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
68 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
3.6492 |