National Provider Identifier [NPI]: |
1073672473 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
NATHAN |
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 |
6221 METROPOLITAN ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
CARLSBAD |
Zip Code Of The Provider |
920093096 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
7795 |
Number Of Medicare Beneficiaries |
351 |
Total Submitted Charge Amount |
1972352.5 |
Total Medicare Allowed Amount |
808541.54 |
Total Medicare Payment Amount |
630589.25 |
Total Medicare Standardized Payment Amount |
584016.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
988 |
Number Of Medicare Beneficiaries With Drug Services |
173 |
Total Drug Submitted ChargeAmount |
49238.13 |
Total Drug Medicare AllowedAmount |
5295.6 |
Total Drug Medicare PaymentAmount |
3923.89 |
Total Drug Medicare Standardized Payment Amount |
3923.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
6807 |
Number Of Medicare Beneficiaries With Medical Services |
351 |
Total Medical Submitted Charge Amount |
1923114.37 |
Total Medical Medicare Allowed Amount |
803245.94 |
Total Medical Medicare Payment Amount |
626665.36 |
Total Medical Medicare Standardized Payment Amount |
580092.65 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
230 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
310 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3766 |