National Provider Identifier [NPI]: |
1568465334 |
Last Name Of The Provider |
FIELDS |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7301 MEDICAL CENTER DRIVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
WEST HILLS |
Zip Code Of The Provider |
913071988 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
1975 |
Number Of Medicare Beneficiaries |
359 |
Total Submitted Charge Amount |
357267.46 |
Total Medicare Allowed Amount |
175063.65 |
Total Medicare Payment Amount |
129543.45 |
Total Medicare Standardized Payment Amount |
120151.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
200 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
43777.4 |
Total Drug Medicare AllowedAmount |
22486.67 |
Total Drug Medicare PaymentAmount |
17606.71 |
Total Drug Medicare Standardized Payment Amount |
17606.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
1775 |
Number Of Medicare Beneficiaries With Medical Services |
359 |
Total Medical Submitted Charge Amount |
313490.06 |
Total Medical Medicare Allowed Amount |
152576.98 |
Total Medical Medicare Payment Amount |
111936.74 |
Total Medical Medicare Standardized Payment Amount |
102544.66 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
218 |
Number Of Male Beneficiaries |
141 |
Number Of Non Hispanic White Beneficiaries |
300 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
303 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9519 |