National Provider Identifier [NPI]: |
1326211376 |
Last Name Of The Provider |
MORALES |
First Name Of The Provider |
ANJALI |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
525 SOUTH DR |
Street Address 2 Of The Provider |
SUITE 115 |
City Of The Provider |
MOUNTAIN VIEW |
Zip Code Of The Provider |
940404213 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
5324 |
Number Of Medicare Beneficiaries |
930 |
Total Submitted Charge Amount |
720203 |
Total Medicare Allowed Amount |
433177.97 |
Total Medicare Payment Amount |
318340.77 |
Total Medicare Standardized Payment Amount |
261001.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
5209 |
Total Drug Medicare AllowedAmount |
3318.1 |
Total Drug Medicare PaymentAmount |
2552.79 |
Total Drug Medicare Standardized Payment Amount |
2552.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
5247 |
Number Of Medicare Beneficiaries With Medical Services |
930 |
Total Medical Submitted Charge Amount |
714994 |
Total Medical Medicare Allowed Amount |
429859.87 |
Total Medical Medicare Payment Amount |
315787.98 |
Total Medical Medicare Standardized Payment Amount |
258448.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
435 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
544 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
858 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
896 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9127 |