National Provider Identifier [NPI]: |
1629071469 |
Last Name Of The Provider |
CHESLER |
First Name Of The Provider |
BRADLEY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1955 CITRACADO PKWY |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
ESCONDIDO |
Zip Code Of The Provider |
920294110 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
3770 |
Number Of Medicare Beneficiaries |
302 |
Total Submitted Charge Amount |
257441.08 |
Total Medicare Allowed Amount |
218213.44 |
Total Medicare Payment Amount |
163873.33 |
Total Medicare Standardized Payment Amount |
160674.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
372 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
4086.08 |
Total Drug Medicare AllowedAmount |
2314.54 |
Total Drug Medicare PaymentAmount |
1790.97 |
Total Drug Medicare Standardized Payment Amount |
1790.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
3398 |
Number Of Medicare Beneficiaries With Medical Services |
302 |
Total Medical Submitted Charge Amount |
253355 |
Total Medical Medicare Allowed Amount |
215898.9 |
Total Medical Medicare Payment Amount |
162082.36 |
Total Medical Medicare Standardized Payment Amount |
158883.94 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
44 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
195 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
250 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
200 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4847 |