National Provider Identifier [NPI]: |
1699871608 |
Last Name Of The Provider |
CHALFIN |
First Name Of The Provider |
STUART |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3791 KATELLA AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LOS ALAMITOS |
Zip Code Of The Provider |
907203105 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
18644 |
Number Of Medicare Beneficiaries |
1203 |
Total Submitted Charge Amount |
2555756.49 |
Total Medicare Allowed Amount |
1030356.44 |
Total Medicare Payment Amount |
792286.97 |
Total Medicare Standardized Payment Amount |
708787.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2515 |
Number Of Medicare Beneficiaries With Drug Services |
453 |
Total Drug Submitted ChargeAmount |
220624.75 |
Total Drug Medicare AllowedAmount |
72746.34 |
Total Drug Medicare PaymentAmount |
55520.79 |
Total Drug Medicare Standardized Payment Amount |
55520.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
16129 |
Number Of Medicare Beneficiaries With Medical Services |
1200 |
Total Medical Submitted Charge Amount |
2335131.74 |
Total Medical Medicare Allowed Amount |
957610.1 |
Total Medical Medicare Payment Amount |
736766.18 |
Total Medical Medicare Standardized Payment Amount |
653266.93 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
422 |
Number Of Beneficiaries Age 75 to 84 |
469 |
Number Of Beneficiaries Age Greater 84 |
256 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
786 |
Number Of Non Hispanic White Beneficiaries |
978 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
52 |
Number Of Hispanic Beneficiaries |
84 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1075 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4299 |