National Provider Identifier [NPI]: |
1285620666 |
Last Name Of The Provider |
WARSHAL |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12980 TEN OAK WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARATOGA |
Zip Code Of The Provider |
950704421 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
4445 |
Number Of Medicare Beneficiaries |
1141 |
Total Submitted Charge Amount |
946010.83 |
Total Medicare Allowed Amount |
447010.51 |
Total Medicare Payment Amount |
310016.46 |
Total Medicare Standardized Payment Amount |
269932.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
72 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
2916 |
Total Drug Medicare AllowedAmount |
1388.17 |
Total Drug Medicare PaymentAmount |
1224.99 |
Total Drug Medicare Standardized Payment Amount |
1224.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
4373 |
Number Of Medicare Beneficiaries With Medical Services |
1140 |
Total Medical Submitted Charge Amount |
943094.83 |
Total Medical Medicare Allowed Amount |
445622.34 |
Total Medical Medicare Payment Amount |
308791.47 |
Total Medical Medicare Standardized Payment Amount |
268707.32 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
342 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
367 |
Number Of Female Beneficiaries |
641 |
Number Of Male Beneficiaries |
500 |
Number Of Non Hispanic White Beneficiaries |
759 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
135 |
Number Of Hispanic Beneficiaries |
155 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
554 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
587 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.86 |