National Provider Identifier [NPI]: |
1205887403 |
Last Name Of The Provider |
SYLVAN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10150 SORRENTO VALLEY RD |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921211635 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
5051 |
Number Of Medicare Beneficiaries |
2865 |
Total Submitted Charge Amount |
471310.78 |
Total Medicare Allowed Amount |
134076.97 |
Total Medicare Payment Amount |
101431.42 |
Total Medicare Standardized Payment Amount |
101041.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
5051 |
Number Of Medicare Beneficiaries With Medical Services |
2865 |
Total Medical Submitted Charge Amount |
471310.78 |
Total Medical Medicare Allowed Amount |
134076.97 |
Total Medical Medicare Payment Amount |
101431.42 |
Total Medical Medicare Standardized Payment Amount |
101041.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
230 |
Number Of Beneficiaries Age 65 to 74 |
1182 |
Number Of Beneficiaries Age 75 to 84 |
868 |
Number Of Beneficiaries Age Greater 84 |
585 |
Number Of Female Beneficiaries |
2118 |
Number Of Male Beneficiaries |
747 |
Number Of Non Hispanic White Beneficiaries |
2241 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
133 |
Number Of Hispanic Beneficiaries |
367 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
74 |
Number Of Beneficiaries With Medicare Only Entitlement |
2325 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
540 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5318 |