National Provider Identifier [NPI]: |
1598874869 |
Last Name Of The Provider |
MELFORD |
First Name Of The Provider |
RYLAND |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24012 CALLE DE LA PLATA |
Street Address 2 Of The Provider |
SUITE 230 |
City Of The Provider |
LAGUNA HILLS |
Zip Code Of The Provider |
926533621 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
2851 |
Number Of Medicare Beneficiaries |
1112 |
Total Submitted Charge Amount |
286439 |
Total Medicare Allowed Amount |
234241.66 |
Total Medicare Payment Amount |
179676 |
Total Medicare Standardized Payment Amount |
162829.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
160 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
11400 |
Total Drug Medicare AllowedAmount |
8465.86 |
Total Drug Medicare PaymentAmount |
6637.16 |
Total Drug Medicare Standardized Payment Amount |
6637.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2691 |
Number Of Medicare Beneficiaries With Medical Services |
1112 |
Total Medical Submitted Charge Amount |
275039 |
Total Medical Medicare Allowed Amount |
225775.8 |
Total Medical Medicare Payment Amount |
173038.84 |
Total Medical Medicare Standardized Payment Amount |
156192.59 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
296 |
Number Of Beneficiaries Age 75 to 84 |
360 |
Number Of Beneficiaries Age Greater 84 |
413 |
Number Of Female Beneficiaries |
615 |
Number Of Male Beneficiaries |
497 |
Number Of Non Hispanic White Beneficiaries |
961 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
957 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.954 |