National Provider Identifier [NPI]: |
1235184912 |
Last Name Of The Provider |
RENFER |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
114 E ROMIE LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALINAS |
Zip Code Of The Provider |
939013126 |
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 |
89 |
Number Of Services |
11333 |
Number Of Medicare Beneficiaries |
777 |
Total Submitted Charge Amount |
643458.5 |
Total Medicare Allowed Amount |
522460.87 |
Total Medicare Payment Amount |
386709.86 |
Total Medicare Standardized Payment Amount |
387251.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
4988 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
135658.5 |
Total Drug Medicare AllowedAmount |
116829.67 |
Total Drug Medicare PaymentAmount |
88790.4 |
Total Drug Medicare Standardized Payment Amount |
88790.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
6345 |
Number Of Medicare Beneficiaries With Medical Services |
777 |
Total Medical Submitted Charge Amount |
507800 |
Total Medical Medicare Allowed Amount |
405631.2 |
Total Medical Medicare Payment Amount |
297919.46 |
Total Medical Medicare Standardized Payment Amount |
298461.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
273 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
206 |
Number Of Male Beneficiaries |
571 |
Number Of Non Hispanic White Beneficiaries |
361 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
354 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
561 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1237 |