National Provider Identifier [NPI]: |
1609890573 |
Last Name Of The Provider |
GOLDEN |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1275 E SPRUCE AVE |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203372 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
11142 |
Number Of Medicare Beneficiaries |
1045 |
Total Submitted Charge Amount |
919973.88 |
Total Medicare Allowed Amount |
722953.57 |
Total Medicare Payment Amount |
539628.32 |
Total Medicare Standardized Payment Amount |
518449.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
659 |
Number Of Medicare Beneficiaries With Drug Services |
222 |
Total Drug Submitted ChargeAmount |
15635 |
Total Drug Medicare AllowedAmount |
8068.09 |
Total Drug Medicare PaymentAmount |
7571.21 |
Total Drug Medicare Standardized Payment Amount |
7571.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
10483 |
Number Of Medicare Beneficiaries With Medical Services |
1045 |
Total Medical Submitted Charge Amount |
904338.88 |
Total Medical Medicare Allowed Amount |
714885.48 |
Total Medical Medicare Payment Amount |
532057.11 |
Total Medical Medicare Standardized Payment Amount |
510878.4 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
445 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
603 |
Number Of Male Beneficiaries |
442 |
Number Of Non Hispanic White Beneficiaries |
868 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
111 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
959 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0388 |