National Provider Identifier [NPI]: |
1972591865 |
Last Name Of The Provider |
DESMOND |
First Name Of The Provider |
BRIAN |
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 |
220 S PALISADE DR |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
SANTA MARIA |
Zip Code Of The Provider |
934548902 |
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 |
136 |
Number Of Services |
7493 |
Number Of Medicare Beneficiaries |
525 |
Total Submitted Charge Amount |
675055.99 |
Total Medicare Allowed Amount |
355270.89 |
Total Medicare Payment Amount |
277281.84 |
Total Medicare Standardized Payment Amount |
270016.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
511 |
Number Of Medicare Beneficiaries With Drug Services |
323 |
Total Drug Submitted ChargeAmount |
32569.69 |
Total Drug Medicare AllowedAmount |
19660.25 |
Total Drug Medicare PaymentAmount |
19019.94 |
Total Drug Medicare Standardized Payment Amount |
19019.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
6982 |
Number Of Medicare Beneficiaries With Medical Services |
525 |
Total Medical Submitted Charge Amount |
642486.3 |
Total Medical Medicare Allowed Amount |
335610.64 |
Total Medical Medicare Payment Amount |
258261.9 |
Total Medical Medicare Standardized Payment Amount |
250996.33 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
470 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
512 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9765 |