National Provider Identifier [NPI]: |
1982635645 |
Last Name Of The Provider |
SANTORA |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1140 W. LA VETA AVE |
Street Address 2 Of The Provider |
SUITE # 640 |
City Of The Provider |
ORANGE |
Zip Code Of The Provider |
928684228 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
5806 |
Number Of Medicare Beneficiaries |
1137 |
Total Submitted Charge Amount |
1143095.65 |
Total Medicare Allowed Amount |
696824.44 |
Total Medicare Payment Amount |
524153.6 |
Total Medicare Standardized Payment Amount |
466433.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
479 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
31961 |
Total Drug Medicare AllowedAmount |
19746.97 |
Total Drug Medicare PaymentAmount |
15481.21 |
Total Drug Medicare Standardized Payment Amount |
15481.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
5327 |
Number Of Medicare Beneficiaries With Medical Services |
1137 |
Total Medical Submitted Charge Amount |
1111134.65 |
Total Medical Medicare Allowed Amount |
677077.47 |
Total Medical Medicare Payment Amount |
508672.39 |
Total Medical Medicare Standardized Payment Amount |
450952.05 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
428 |
Number Of Beneficiaries Age 75 to 84 |
458 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
617 |
Number Of Non Hispanic White Beneficiaries |
927 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
68 |
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1040 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5875 |