National Provider Identifier [NPI]: |
1841388907 |
Last Name Of The Provider |
MARRONE |
First Name Of The Provider |
ALFRED |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3440 LOMITA BLVD |
Street Address 2 Of The Provider |
SUITE 451 |
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
905054800 |
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 |
41 |
Number Of Services |
2795 |
Number Of Medicare Beneficiaries |
1212 |
Total Submitted Charge Amount |
932786.15 |
Total Medicare Allowed Amount |
490350.49 |
Total Medicare Payment Amount |
359611.02 |
Total Medicare Standardized Payment Amount |
334144.89 |
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 |
41 |
Number Of Medical Services |
2795 |
Number Of Medicare Beneficiaries With Medical Services |
1212 |
Total Medical Submitted Charge Amount |
932786.15 |
Total Medical Medicare Allowed Amount |
490350.49 |
Total Medical Medicare Payment Amount |
359611.02 |
Total Medical Medicare Standardized Payment Amount |
334144.89 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
396 |
Number Of Beneficiaries Age 75 to 84 |
506 |
Number Of Beneficiaries Age Greater 84 |
290 |
Number Of Female Beneficiaries |
772 |
Number Of Male Beneficiaries |
440 |
Number Of Non Hispanic White Beneficiaries |
1031 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1180 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0635 |