National Provider Identifier [NPI]: |
1457362329 |
Last Name Of The Provider |
MULLEN |
First Name Of The Provider |
WILLIAM |
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 |
795 EL CAMINO REAL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALO ALTO |
Zip Code Of The Provider |
943012302 |
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 |
41 |
Number Of Services |
2085 |
Number Of Medicare Beneficiaries |
1433 |
Total Submitted Charge Amount |
726569 |
Total Medicare Allowed Amount |
277151.12 |
Total Medicare Payment Amount |
206915.51 |
Total Medicare Standardized Payment Amount |
171851.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
18 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
455 |
Total Drug Medicare AllowedAmount |
310.33 |
Total Drug Medicare PaymentAmount |
288.34 |
Total Drug Medicare Standardized Payment Amount |
288.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2067 |
Number Of Medicare Beneficiaries With Medical Services |
1433 |
Total Medical Submitted Charge Amount |
726114 |
Total Medical Medicare Allowed Amount |
276840.79 |
Total Medical Medicare Payment Amount |
206627.17 |
Total Medical Medicare Standardized Payment Amount |
171563.5 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
630 |
Number Of Beneficiaries Age 75 to 84 |
476 |
Number Of Beneficiaries Age Greater 84 |
288 |
Number Of Female Beneficiaries |
756 |
Number Of Male Beneficiaries |
677 |
Number Of Non Hispanic White Beneficiaries |
1024 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
229 |
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
66 |
Number Of Beneficiaries With Medicare Only Entitlement |
1260 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1336 |