National Provider Identifier [NPI]: |
1881627743 |
Last Name Of The Provider |
ALVAREZ |
First Name Of The Provider |
PAMELA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24910 LAS BRISAS RD |
Street Address 2 Of The Provider |
SUITE 115 |
City Of The Provider |
MURRIETA |
Zip Code Of The Provider |
92562 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
2201 |
Number Of Medicare Beneficiaries |
631 |
Total Submitted Charge Amount |
334348.11 |
Total Medicare Allowed Amount |
212112.28 |
Total Medicare Payment Amount |
152418.95 |
Total Medicare Standardized Payment Amount |
146866.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
557 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
3648.83 |
Total Drug Medicare AllowedAmount |
2410.98 |
Total Drug Medicare PaymentAmount |
1872.44 |
Total Drug Medicare Standardized Payment Amount |
1872.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
1644 |
Number Of Medicare Beneficiaries With Medical Services |
631 |
Total Medical Submitted Charge Amount |
330699.28 |
Total Medical Medicare Allowed Amount |
209701.3 |
Total Medical Medicare Payment Amount |
150546.51 |
Total Medical Medicare Standardized Payment Amount |
144993.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
379 |
Number Of Male Beneficiaries |
252 |
Number Of Non Hispanic White Beneficiaries |
474 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
89 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
512 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
119 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.4276 |