National Provider Identifier [NPI]: |
1477639193 |
Last Name Of The Provider |
AU |
First Name Of The Provider |
ALVIN |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD FACG |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1360 BAILEY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HANFORD |
Zip Code Of The Provider |
932305921 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
5915 |
Number Of Medicare Beneficiaries |
1532 |
Total Submitted Charge Amount |
2743879 |
Total Medicare Allowed Amount |
815983.28 |
Total Medicare Payment Amount |
623422.99 |
Total Medicare Standardized Payment Amount |
616939.79 |
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 |
49 |
Number Of Medical Services |
5915 |
Number Of Medicare Beneficiaries With Medical Services |
1532 |
Total Medical Submitted Charge Amount |
2743879 |
Total Medical Medicare Allowed Amount |
815983.28 |
Total Medical Medicare Payment Amount |
623422.99 |
Total Medical Medicare Standardized Payment Amount |
616939.79 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
324 |
Number Of Beneficiaries Age 65 to 74 |
667 |
Number Of Beneficiaries Age 75 to 84 |
419 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
889 |
Number Of Male Beneficiaries |
643 |
Number Of Non Hispanic White Beneficiaries |
835 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
576 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
857 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
675 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3579 |