National Provider Identifier [NPI]: |
1134276405 |
Last Name Of The Provider |
NAPOD |
First Name Of The Provider |
JOCELYN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3661 LAS POSAS RD |
Street Address 2 Of The Provider |
SUITE G162 |
City Of The Provider |
CAMARILLO |
Zip Code Of The Provider |
930101481 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
8942 |
Number Of Medicare Beneficiaries |
810 |
Total Submitted Charge Amount |
490577 |
Total Medicare Allowed Amount |
342020 |
Total Medicare Payment Amount |
254662.63 |
Total Medicare Standardized Payment Amount |
236640.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
2631 |
Number Of Medicare Beneficiaries With Drug Services |
287 |
Total Drug Submitted ChargeAmount |
60642 |
Total Drug Medicare AllowedAmount |
41289.95 |
Total Drug Medicare PaymentAmount |
33692.08 |
Total Drug Medicare Standardized Payment Amount |
33692.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
6311 |
Number Of Medicare Beneficiaries With Medical Services |
810 |
Total Medical Submitted Charge Amount |
429935 |
Total Medical Medicare Allowed Amount |
300730.05 |
Total Medical Medicare Payment Amount |
220970.55 |
Total Medical Medicare Standardized Payment Amount |
202948.2 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
184 |
Number Of Female Beneficiaries |
629 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
677 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1056 |