National Provider Identifier [NPI]: |
1205911724 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1501 TROUSDALE DR |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
BURLINGAME |
Zip Code Of The Provider |
940104506 |
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 |
27 |
Number Of Services |
943 |
Number Of Medicare Beneficiaries |
308 |
Total Submitted Charge Amount |
162487 |
Total Medicare Allowed Amount |
78619.87 |
Total Medicare Payment Amount |
59526.87 |
Total Medicare Standardized Payment Amount |
51040.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
111 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
5244 |
Total Drug Medicare AllowedAmount |
5064.7 |
Total Drug Medicare PaymentAmount |
4952.99 |
Total Drug Medicare Standardized Payment Amount |
4952.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
832 |
Number Of Medicare Beneficiaries With Medical Services |
308 |
Total Medical Submitted Charge Amount |
157243 |
Total Medical Medicare Allowed Amount |
73555.17 |
Total Medical Medicare Payment Amount |
54573.88 |
Total Medical Medicare Standardized Payment Amount |
46087.98 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
97 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
153 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
270 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9925 |