National Provider Identifier [NPI]: |
1437114006 |
Last Name Of The Provider |
GARAY |
First Name Of The Provider |
SUSAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 CRANE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MENLO PARK |
Zip Code Of The Provider |
940254260 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1244 |
Number Of Medicare Beneficiaries |
280 |
Total Submitted Charge Amount |
237043 |
Total Medicare Allowed Amount |
100327.87 |
Total Medicare Payment Amount |
75585.97 |
Total Medicare Standardized Payment Amount |
64346.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
328 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
14902 |
Total Drug Medicare AllowedAmount |
6012.11 |
Total Drug Medicare PaymentAmount |
5732.43 |
Total Drug Medicare Standardized Payment Amount |
5732.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
916 |
Number Of Medicare Beneficiaries With Medical Services |
280 |
Total Medical Submitted Charge Amount |
222141 |
Total Medical Medicare Allowed Amount |
94315.76 |
Total Medical Medicare Payment Amount |
69853.54 |
Total Medical Medicare Standardized Payment Amount |
58614.22 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
222 |
Number Of Male Beneficiaries |
58 |
Number Of Non Hispanic White Beneficiaries |
239 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8727 |