Medicare Facts for Dr. Sean Wollaston, MD


National Provider Identifier [NPI]: 1316921075
Last Name Of The Provider WOLLASTON
First Name Of The Provider SEAN
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 12660 RIVERSIDE DR
Street Address 2 Of The Provider SUITE 200
City Of The Provider NORTH HOLLYWOOD
Zip Code Of The Provider 916073429
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 82
Number Of Services 150099
Number Of Medicare Beneficiaries 543
Total Submitted Charge Amount 3073992
Total Medicare Allowed Amount 1468248.31
Total Medicare Payment Amount 1147892.03
Total Medicare Standardized Payment Amount 1119098.91
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 16
Number Of Drug Services 137328
Number Of Medicare Beneficiaries With Drug Services 325
Total Drug Submitted ChargeAmount 2232097
Total Drug Medicare AllowedAmount 1028873.03
Total Drug Medicare PaymentAmount 803915.68
Total Drug Medicare Standardized Payment Amount 803915.68
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 66
Number Of Medical Services 12771
Number Of Medicare Beneficiaries With Medical Services 543
Total Medical Submitted Charge Amount 841895
Total Medical Medicare Allowed Amount 439375.28
Total Medical Medicare Payment Amount 343976.35
Total Medical Medicare Standardized Payment Amount 315183.23
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 69
Number Of Beneficiaries Age 65 to 74 216
Number Of Beneficiaries Age 75 to 84 178
Number Of Beneficiaries Age Greater 84 80
Number Of Female Beneficiaries 403
Number Of Male Beneficiaries 140
Number Of Non Hispanic White Beneficiaries 452
Number Of Black or African American Beneficiaries 13
Number Of AsianPacific Islander Beneficiaries 17
Number Of Hispanic Beneficiaries 48
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 13
Number Of Beneficiaries With Medicare Only Entitlement 445
Number Of Beneficiaries With Medicare Medicaid Entitlement 98
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 10
Percent Of With Cancer 13
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 26
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 29
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.2813

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