National Provider Identifier [NPI]: |
1609844604 |
Last Name Of The Provider |
FU |
First Name Of The Provider |
ARTHUR |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1445 BUSH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941095520 |
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 |
45 |
Number Of Services |
13223 |
Number Of Medicare Beneficiaries |
1485 |
Total Submitted Charge Amount |
8123818 |
Total Medicare Allowed Amount |
3596963.97 |
Total Medicare Payment Amount |
2764064.06 |
Total Medicare Standardized Payment Amount |
2673757.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
5943 |
Number Of Medicare Beneficiaries With Drug Services |
332 |
Total Drug Submitted ChargeAmount |
5876168 |
Total Drug Medicare AllowedAmount |
2765661.01 |
Total Drug Medicare PaymentAmount |
2150207.01 |
Total Drug Medicare Standardized Payment Amount |
2150207.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
7280 |
Number Of Medicare Beneficiaries With Medical Services |
1485 |
Total Medical Submitted Charge Amount |
2247650 |
Total Medical Medicare Allowed Amount |
831302.96 |
Total Medical Medicare Payment Amount |
613857.05 |
Total Medical Medicare Standardized Payment Amount |
523550.59 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
442 |
Number Of Beneficiaries Age 75 to 84 |
513 |
Number Of Beneficiaries Age Greater 84 |
480 |
Number Of Female Beneficiaries |
859 |
Number Of Male Beneficiaries |
626 |
Number Of Non Hispanic White Beneficiaries |
1078 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
242 |
Number Of Hispanic Beneficiaries |
94 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
1159 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
326 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2942 |