National Provider Identifier [NPI]: |
1407969231 |
Last Name Of The Provider |
WESTON |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6555 COYLE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARMICHAEL |
Zip Code Of The Provider |
956080302 |
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 |
34 |
Number Of Services |
2008 |
Number Of Medicare Beneficiaries |
512 |
Total Submitted Charge Amount |
479171 |
Total Medicare Allowed Amount |
163519.89 |
Total Medicare Payment Amount |
111123.87 |
Total Medicare Standardized Payment Amount |
106671.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
196 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
13054 |
Total Drug Medicare AllowedAmount |
4641.99 |
Total Drug Medicare PaymentAmount |
4539.72 |
Total Drug Medicare Standardized Payment Amount |
4539.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1812 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
466117 |
Total Medical Medicare Allowed Amount |
158877.9 |
Total Medical Medicare Payment Amount |
106584.15 |
Total Medical Medicare Standardized Payment Amount |
102132.19 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
177 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
295 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
456 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
433 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1921 |