National Provider Identifier [NPI]: |
1417985276 |
Last Name Of The Provider |
SAVAGE |
First Name Of The Provider |
WALTER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
350 JOHN MUIR PKWY |
Street Address 2 Of The Provider |
SUITE 285 |
City Of The Provider |
BRENTWOOD |
Zip Code Of The Provider |
945135183 |
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 |
55 |
Number Of Services |
4952 |
Number Of Medicare Beneficiaries |
1088 |
Total Submitted Charge Amount |
855445 |
Total Medicare Allowed Amount |
428180.71 |
Total Medicare Payment Amount |
333029.86 |
Total Medicare Standardized Payment Amount |
300091.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
4952 |
Number Of Medicare Beneficiaries With Medical Services |
1088 |
Total Medical Submitted Charge Amount |
855445 |
Total Medical Medicare Allowed Amount |
428180.71 |
Total Medical Medicare Payment Amount |
333029.86 |
Total Medical Medicare Standardized Payment Amount |
300091.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
333 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
576 |
Number Of Male Beneficiaries |
512 |
Number Of Non Hispanic White Beneficiaries |
724 |
Number Of Black or African American Beneficiaries |
123 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
172 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
758 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
330 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8485 |