National Provider Identifier [NPI]: |
1891895702 |
Last Name Of The Provider |
SCHWARTZ |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21700 GOLDEN TRIANGLE RD |
Street Address 2 Of The Provider |
102 |
City Of The Provider |
SANTA CLARITA |
Zip Code Of The Provider |
913502616 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1087 |
Number Of Medicare Beneficiaries |
198 |
Total Submitted Charge Amount |
177667.34 |
Total Medicare Allowed Amount |
107648.33 |
Total Medicare Payment Amount |
79724.77 |
Total Medicare Standardized Payment Amount |
74723.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
323.46 |
Total Drug Medicare AllowedAmount |
113.03 |
Total Drug Medicare PaymentAmount |
109.71 |
Total Drug Medicare Standardized Payment Amount |
109.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1072 |
Number Of Medicare Beneficiaries With Medical Services |
198 |
Total Medical Submitted Charge Amount |
177343.88 |
Total Medical Medicare Allowed Amount |
107535.3 |
Total Medical Medicare Payment Amount |
79615.06 |
Total Medical Medicare Standardized Payment Amount |
74613.46 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
55 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
105 |
Number Of Male Beneficiaries |
93 |
Number Of Non Hispanic White Beneficiaries |
149 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
98 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
52 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
35 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6326 |