National Provider Identifier [NPI]: |
1528268372 |
Last Name Of The Provider |
GRIFFITH |
First Name Of The Provider |
LYLE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1004 N DOUTY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HANFORD |
Zip Code Of The Provider |
932303723 |
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 |
88 |
Number Of Services |
1388 |
Number Of Medicare Beneficiaries |
184 |
Total Submitted Charge Amount |
316611.3 |
Total Medicare Allowed Amount |
134408.45 |
Total Medicare Payment Amount |
103275.92 |
Total Medicare Standardized Payment Amount |
99317.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
245 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
25371 |
Total Drug Medicare AllowedAmount |
5786.86 |
Total Drug Medicare PaymentAmount |
4491.45 |
Total Drug Medicare Standardized Payment Amount |
4491.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
1143 |
Number Of Medicare Beneficiaries With Medical Services |
184 |
Total Medical Submitted Charge Amount |
291240.3 |
Total Medical Medicare Allowed Amount |
128621.59 |
Total Medical Medicare Payment Amount |
98784.47 |
Total Medical Medicare Standardized Payment Amount |
94825.85 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
49 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
103 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
102 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2243 |