National Provider Identifier [NPI]: |
1336220433 |
Last Name Of The Provider |
GARIANO |
First Name Of The Provider |
RAY |
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 |
751 S BASCOM AVE |
Street Address 2 Of The Provider |
OPHTHALMOLOGY DEPT |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951282604 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3196 |
Number Of Medicare Beneficiaries |
573 |
Total Submitted Charge Amount |
1095670 |
Total Medicare Allowed Amount |
394625.67 |
Total Medicare Payment Amount |
296024.47 |
Total Medicare Standardized Payment Amount |
289813.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
452 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
339212 |
Total Drug Medicare AllowedAmount |
142594.12 |
Total Drug Medicare PaymentAmount |
111734.27 |
Total Drug Medicare Standardized Payment Amount |
111734.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2744 |
Number Of Medicare Beneficiaries With Medical Services |
573 |
Total Medical Submitted Charge Amount |
756458 |
Total Medical Medicare Allowed Amount |
252031.55 |
Total Medical Medicare Payment Amount |
184290.2 |
Total Medical Medicare Standardized Payment Amount |
178078.89 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
328 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
485 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
516 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
57 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3727 |