National Provider Identifier [NPI]: |
1053580191 |
Last Name Of The Provider |
HOWELL |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3180 WILLOW LN |
Street Address 2 Of The Provider |
#114 |
City Of The Provider |
THOUSAND OAKS |
Zip Code Of The Provider |
913614941 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
1480 |
Number Of Medicare Beneficiaries |
336 |
Total Submitted Charge Amount |
136644 |
Total Medicare Allowed Amount |
101325.86 |
Total Medicare Payment Amount |
75531.01 |
Total Medicare Standardized Payment Amount |
69792.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
4001 |
Total Drug Medicare AllowedAmount |
416.02 |
Total Drug Medicare PaymentAmount |
378.7 |
Total Drug Medicare Standardized Payment Amount |
378.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
1302 |
Number Of Medicare Beneficiaries With Medical Services |
336 |
Total Medical Submitted Charge Amount |
132643 |
Total Medical Medicare Allowed Amount |
100909.84 |
Total Medical Medicare Payment Amount |
75152.31 |
Total Medical Medicare Standardized Payment Amount |
69414.09 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
201 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
305 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
305 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8782 |