National Provider Identifier [NPI]: |
1992738603 |
Last Name Of The Provider |
SHEFFER |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2446 W WHITTIER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MONTEBELLO |
Zip Code Of The Provider |
906403041 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
5700 |
Number Of Medicare Beneficiaries |
817 |
Total Submitted Charge Amount |
977892 |
Total Medicare Allowed Amount |
450306.89 |
Total Medicare Payment Amount |
334366.46 |
Total Medicare Standardized Payment Amount |
307157.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
154 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
30800 |
Total Drug Medicare AllowedAmount |
9723.31 |
Total Drug Medicare PaymentAmount |
7572.26 |
Total Drug Medicare Standardized Payment Amount |
7572.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
5546 |
Number Of Medicare Beneficiaries With Medical Services |
817 |
Total Medical Submitted Charge Amount |
947092 |
Total Medical Medicare Allowed Amount |
440583.58 |
Total Medical Medicare Payment Amount |
326794.2 |
Total Medical Medicare Standardized Payment Amount |
299585.16 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
457 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
32 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
769 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
54 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
763 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.4393 |