National Provider Identifier [NPI]: |
1306057989 |
Last Name Of The Provider |
KRONLAND |
First Name Of The Provider |
RENE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1061 E MAIN ST |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
GRASS VALLEY |
Zip Code Of The Provider |
959455724 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
2040 |
Number Of Medicare Beneficiaries |
398 |
Total Submitted Charge Amount |
156149.81 |
Total Medicare Allowed Amount |
131450.23 |
Total Medicare Payment Amount |
86430.93 |
Total Medicare Standardized Payment Amount |
83925.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
242 |
Number Of Medicare Beneficiaries With Drug Services |
185 |
Total Drug Submitted ChargeAmount |
4579 |
Total Drug Medicare AllowedAmount |
3541.31 |
Total Drug Medicare PaymentAmount |
3426.1 |
Total Drug Medicare Standardized Payment Amount |
3426.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1798 |
Number Of Medicare Beneficiaries With Medical Services |
398 |
Total Medical Submitted Charge Amount |
151570.81 |
Total Medical Medicare Allowed Amount |
127908.92 |
Total Medical Medicare Payment Amount |
83004.83 |
Total Medical Medicare Standardized Payment Amount |
80499.1 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
280 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
386 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
381 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
8 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8783 |