National Provider Identifier [NPI]: |
1962411272 |
Last Name Of The Provider |
BYRNE |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30 BRENNAN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WATSONVILLE |
Zip Code Of The Provider |
950764303 |
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 |
71 |
Number Of Services |
12764 |
Number Of Medicare Beneficiaries |
850 |
Total Submitted Charge Amount |
1770324.82 |
Total Medicare Allowed Amount |
1066477.32 |
Total Medicare Payment Amount |
818273.8 |
Total Medicare Standardized Payment Amount |
782122.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
4837 |
Number Of Medicare Beneficiaries With Drug Services |
307 |
Total Drug Submitted ChargeAmount |
123100.8 |
Total Drug Medicare AllowedAmount |
49732.26 |
Total Drug Medicare PaymentAmount |
39565.17 |
Total Drug Medicare Standardized Payment Amount |
39565.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
7927 |
Number Of Medicare Beneficiaries With Medical Services |
850 |
Total Medical Submitted Charge Amount |
1647224.02 |
Total Medical Medicare Allowed Amount |
1016745.06 |
Total Medical Medicare Payment Amount |
778708.63 |
Total Medical Medicare Standardized Payment Amount |
742557.23 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
249 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
403 |
Number Of Non Hispanic White Beneficiaries |
385 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
405 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
437 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
413 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7667 |