National Provider Identifier [NPI]: |
1457424004 |
Last Name Of The Provider |
JULIAN |
First Name Of The Provider |
CAESAR |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
39695 KEENAN DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
RANCHO MIRAGE |
Zip Code Of The Provider |
922703608 |
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 |
6 |
Number Of Services |
2196 |
Number Of Medicare Beneficiaries |
730 |
Total Submitted Charge Amount |
554404 |
Total Medicare Allowed Amount |
289402.37 |
Total Medicare Payment Amount |
224404.31 |
Total Medicare Standardized Payment Amount |
223154.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
6 |
Number Of Medical Services |
2196 |
Number Of Medicare Beneficiaries With Medical Services |
730 |
Total Medical Submitted Charge Amount |
554404 |
Total Medical Medicare Allowed Amount |
289402.37 |
Total Medical Medicare Payment Amount |
224404.31 |
Total Medical Medicare Standardized Payment Amount |
223154.22 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
256 |
Number Of Beneficiaries Age Greater 84 |
299 |
Number Of Female Beneficiaries |
456 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
618 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
577 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0387 |