Medicare Facts for Dr. Katrina A. Gallardo-Chang, OD


National Provider Identifier [NPI]: 1568711497
Last Name Of The Provider GALLARDO-CHANG
First Name Of The Provider KATRINA
Middle Initial Of The Provider A
Credentials Of The Provider O.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 4849 EL CEMONTE AVE.
Street Address 2 Of The Provider APT 120
City Of The Provider DAVIS
Zip Code Of The Provider 95618
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 48
Number Of Medicare Beneficiaries 38
Total Submitted Charge Amount 5398
Total Medicare Allowed Amount 4935.08
Total Medicare Payment Amount 3319.37
Total Medicare Standardized Payment Amount 3234.92
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 10
Number Of Medical Services 48
Number Of Medicare Beneficiaries With Medical Services 38
Total Medical Submitted Charge Amount 5398
Total Medical Medicare Allowed Amount 4935.08
Total Medical Medicare Payment Amount 3319.37
Total Medical Medicare Standardized Payment Amount 3234.92
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 18
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 18
Number Of Male Beneficiaries 20
Number Of Non Hispanic White Beneficiaries 24
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 0
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 38
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 0
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 58
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 0.7826

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