National Provider Identifier [NPI]: |
1720016397 |
Last Name Of The Provider |
ALLSWANG |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3801 KATELLA AVE |
Street Address 2 Of The Provider |
SUITE 330 |
City Of The Provider |
LOS ALAMITOS |
Zip Code Of The Provider |
907203338 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
3085 |
Number Of Medicare Beneficiaries |
423 |
Total Submitted Charge Amount |
422513 |
Total Medicare Allowed Amount |
257787.8 |
Total Medicare Payment Amount |
196018.58 |
Total Medicare Standardized Payment Amount |
182185.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
3140 |
Total Drug Medicare AllowedAmount |
2076.15 |
Total Drug Medicare PaymentAmount |
2033.92 |
Total Drug Medicare Standardized Payment Amount |
2033.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3024 |
Number Of Medicare Beneficiaries With Medical Services |
423 |
Total Medical Submitted Charge Amount |
419373 |
Total Medical Medicare Allowed Amount |
255711.65 |
Total Medical Medicare Payment Amount |
193984.66 |
Total Medical Medicare Standardized Payment Amount |
180151.82 |
Average Age Of Beneficiaries |
53 |
Number Of Beneficiaries Age Less65 |
298 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
43 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
206 |
Number Of Male Beneficiaries |
217 |
Number Of Non Hispanic White Beneficiaries |
240 |
Number Of Black or African American Beneficiaries |
81 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
148 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
275 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
69 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
64 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3321 |