National Provider Identifier [NPI]: |
1972612083 |
Last Name Of The Provider |
STARR |
First Name Of The Provider |
JON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
321 MIDDLEFIELD RD |
Street Address 2 Of The Provider |
STE #245 |
City Of The Provider |
MENLO PARK |
Zip Code Of The Provider |
940253500 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
2250 |
Number Of Medicare Beneficiaries |
439 |
Total Submitted Charge Amount |
1030816.46 |
Total Medicare Allowed Amount |
655841.35 |
Total Medicare Payment Amount |
503761.18 |
Total Medicare Standardized Payment Amount |
387524.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
364.9 |
Total Drug Medicare AllowedAmount |
41.77 |
Total Drug Medicare PaymentAmount |
32.77 |
Total Drug Medicare Standardized Payment Amount |
32.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
2231 |
Number Of Medicare Beneficiaries With Medical Services |
439 |
Total Medical Submitted Charge Amount |
1030451.56 |
Total Medical Medicare Allowed Amount |
655799.58 |
Total Medical Medicare Payment Amount |
503728.41 |
Total Medical Medicare Standardized Payment Amount |
387491.29 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
424 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9566 |