National Provider Identifier [NPI]: |
1609055078 |
Last Name Of The Provider |
NALOS |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2901 SILLECT AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933086370 |
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 |
127 |
Number Of Services |
6684 |
Number Of Medicare Beneficiaries |
1197 |
Total Submitted Charge Amount |
1241625.36 |
Total Medicare Allowed Amount |
617875.94 |
Total Medicare Payment Amount |
465200.72 |
Total Medicare Standardized Payment Amount |
449536.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
841 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
47879 |
Total Drug Medicare AllowedAmount |
30809.11 |
Total Drug Medicare PaymentAmount |
24174.58 |
Total Drug Medicare Standardized Payment Amount |
24174.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
5843 |
Number Of Medicare Beneficiaries With Medical Services |
1197 |
Total Medical Submitted Charge Amount |
1193746.36 |
Total Medical Medicare Allowed Amount |
587066.83 |
Total Medical Medicare Payment Amount |
441026.14 |
Total Medical Medicare Standardized Payment Amount |
425361.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
388 |
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
236 |
Number Of Female Beneficiaries |
569 |
Number Of Male Beneficiaries |
628 |
Number Of Non Hispanic White Beneficiaries |
905 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
194 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
875 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
322 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8697 |