National Provider Identifier [NPI]: |
1184628927 |
Last Name Of The Provider |
ZAMBRANO |
First Name Of The Provider |
OSCAR |
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 |
6513 ATLANTIC AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELL |
Zip Code Of The Provider |
902012521 |
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 |
51 |
Number Of Services |
4397 |
Number Of Medicare Beneficiaries |
842 |
Total Submitted Charge Amount |
473395 |
Total Medicare Allowed Amount |
310593.12 |
Total Medicare Payment Amount |
240586.94 |
Total Medicare Standardized Payment Amount |
221158.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
316 |
Number Of Medicare Beneficiaries With Drug Services |
170 |
Total Drug Submitted ChargeAmount |
15390 |
Total Drug Medicare AllowedAmount |
10059.48 |
Total Drug Medicare PaymentAmount |
8231.08 |
Total Drug Medicare Standardized Payment Amount |
8231.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4081 |
Number Of Medicare Beneficiaries With Medical Services |
842 |
Total Medical Submitted Charge Amount |
458005 |
Total Medical Medicare Allowed Amount |
300533.64 |
Total Medical Medicare Payment Amount |
232355.86 |
Total Medical Medicare Standardized Payment Amount |
212927.82 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
796 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
57 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
785 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9835 |