National Provider Identifier [NPI]: |
1053399535 |
Last Name Of The Provider |
GORELICK |
First Name Of The Provider |
MELVIN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
261 EL DORADO ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTEREY |
Zip Code Of The Provider |
939402911 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
9700 |
Number Of Medicare Beneficiaries |
2071 |
Total Submitted Charge Amount |
437984.66 |
Total Medicare Allowed Amount |
436317.8 |
Total Medicare Payment Amount |
298958.94 |
Total Medicare Standardized Payment Amount |
282092.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
311 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
409.2 |
Total Drug Medicare AllowedAmount |
409.2 |
Total Drug Medicare PaymentAmount |
261.11 |
Total Drug Medicare Standardized Payment Amount |
261.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
9389 |
Number Of Medicare Beneficiaries With Medical Services |
2071 |
Total Medical Submitted Charge Amount |
437575.46 |
Total Medical Medicare Allowed Amount |
435908.6 |
Total Medical Medicare Payment Amount |
298697.83 |
Total Medical Medicare Standardized Payment Amount |
281831.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
922 |
Number Of Beneficiaries Age 75 to 84 |
660 |
Number Of Beneficiaries Age Greater 84 |
424 |
Number Of Female Beneficiaries |
1071 |
Number Of Male Beneficiaries |
1000 |
Number Of Non Hispanic White Beneficiaries |
1881 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
81 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
1910 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9184 |