National Provider Identifier [NPI]: |
1578587366 |
Last Name Of The Provider |
PAUL |
First Name Of The Provider |
JOY |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20911 EARL ST STE 140 |
Street Address 2 Of The Provider |
|
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
905034353 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
3124 |
Number Of Medicare Beneficiaries |
489 |
Total Submitted Charge Amount |
661820 |
Total Medicare Allowed Amount |
276000.44 |
Total Medicare Payment Amount |
208843.98 |
Total Medicare Standardized Payment Amount |
192192.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
223 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
58569 |
Total Drug Medicare AllowedAmount |
22535.55 |
Total Drug Medicare PaymentAmount |
17580.93 |
Total Drug Medicare Standardized Payment Amount |
17580.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
2901 |
Number Of Medicare Beneficiaries With Medical Services |
489 |
Total Medical Submitted Charge Amount |
603251 |
Total Medical Medicare Allowed Amount |
253464.89 |
Total Medical Medicare Payment Amount |
191263.05 |
Total Medical Medicare Standardized Payment Amount |
174611.72 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
200 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
75 |
Number Of Male Beneficiaries |
414 |
Number Of Non Hispanic White Beneficiaries |
382 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
437 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1794 |