National Provider Identifier [NPI]: |
1659471837 |
Last Name Of The Provider |
MARIN |
First Name Of The Provider |
MIHAELA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17450 S LA CANADA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAHUARITA |
Zip Code Of The Provider |
856299718 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
3752 |
Number Of Medicare Beneficiaries |
835 |
Total Submitted Charge Amount |
492263 |
Total Medicare Allowed Amount |
263969.54 |
Total Medicare Payment Amount |
190860.83 |
Total Medicare Standardized Payment Amount |
191929.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
185 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
12658 |
Total Drug Medicare AllowedAmount |
2264.81 |
Total Drug Medicare PaymentAmount |
1718.63 |
Total Drug Medicare Standardized Payment Amount |
1718.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3567 |
Number Of Medicare Beneficiaries With Medical Services |
835 |
Total Medical Submitted Charge Amount |
479605 |
Total Medical Medicare Allowed Amount |
261704.73 |
Total Medical Medicare Payment Amount |
189142.2 |
Total Medical Medicare Standardized Payment Amount |
190210.59 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
445 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
591 |
Number Of Male Beneficiaries |
244 |
Number Of Non Hispanic White Beneficiaries |
790 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
813 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
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 |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9133 |