National Provider Identifier [NPI]: |
1992920797 |
Last Name Of The Provider |
SLATER |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 SAMARITAN DR STE 203 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951243910 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
823 |
Number Of Medicare Beneficiaries |
291 |
Total Submitted Charge Amount |
154094 |
Total Medicare Allowed Amount |
69931.55 |
Total Medicare Payment Amount |
46937.7 |
Total Medicare Standardized Payment Amount |
40351.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
146 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
3791 |
Total Drug Medicare AllowedAmount |
3387.83 |
Total Drug Medicare PaymentAmount |
3291.43 |
Total Drug Medicare Standardized Payment Amount |
3291.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
677 |
Number Of Medicare Beneficiaries With Medical Services |
291 |
Total Medical Submitted Charge Amount |
150303 |
Total Medical Medicare Allowed Amount |
66543.72 |
Total Medical Medicare Payment Amount |
43646.27 |
Total Medical Medicare Standardized Payment Amount |
37060.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
120 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
254 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
15 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7902 |