National Provider Identifier [NPI]: |
1609834217 |
Last Name Of The Provider |
ALARCON |
First Name Of The Provider |
JUAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2133 W BEVERLY BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MONTEBELLO |
Zip Code Of The Provider |
906403901 |
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 |
130 |
Number Of Services |
9804 |
Number Of Medicare Beneficiaries |
930 |
Total Submitted Charge Amount |
2153181 |
Total Medicare Allowed Amount |
921447.31 |
Total Medicare Payment Amount |
696097.31 |
Total Medicare Standardized Payment Amount |
643214.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
336 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
208790 |
Total Drug Medicare AllowedAmount |
128757.15 |
Total Drug Medicare PaymentAmount |
100868.79 |
Total Drug Medicare Standardized Payment Amount |
100868.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
9468 |
Number Of Medicare Beneficiaries With Medical Services |
930 |
Total Medical Submitted Charge Amount |
1944391 |
Total Medical Medicare Allowed Amount |
792690.16 |
Total Medical Medicare Payment Amount |
595228.52 |
Total Medical Medicare Standardized Payment Amount |
542346 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
324 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
221 |
Number Of Male Beneficiaries |
709 |
Number Of Non Hispanic White Beneficiaries |
40 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
873 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
772 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6506 |