National Provider Identifier [NPI]: |
1457351652 |
Last Name Of The Provider |
BOYCE |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12665 GARDEN GROVE BLVD |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
GARDEN GROVE |
Zip Code Of The Provider |
928431901 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
1566 |
Number Of Medicare Beneficiaries |
846 |
Total Submitted Charge Amount |
396510 |
Total Medicare Allowed Amount |
258825.05 |
Total Medicare Payment Amount |
184313.51 |
Total Medicare Standardized Payment Amount |
163458.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1566 |
Number Of Medicare Beneficiaries With Medical Services |
846 |
Total Medical Submitted Charge Amount |
396510 |
Total Medical Medicare Allowed Amount |
258825.05 |
Total Medical Medicare Payment Amount |
184313.51 |
Total Medical Medicare Standardized Payment Amount |
163458.09 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
340 |
Number Of Beneficiaries Age Greater 84 |
191 |
Number Of Female Beneficiaries |
509 |
Number Of Male Beneficiaries |
337 |
Number Of Non Hispanic White Beneficiaries |
516 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
123 |
Number Of Hispanic Beneficiaries |
168 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
543 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
303 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2316 |