National Provider Identifier [NPI]: |
1467554543 |
Last Name Of The Provider |
EAKIN |
First Name Of The Provider |
COLIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
795 EL CAMINO REAL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALO ALTO |
Zip Code Of The Provider |
943012302 |
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 |
42 |
Number Of Services |
4946 |
Number Of Medicare Beneficiaries |
602 |
Total Submitted Charge Amount |
1211809.6 |
Total Medicare Allowed Amount |
347681.73 |
Total Medicare Payment Amount |
263169.32 |
Total Medicare Standardized Payment Amount |
231573.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3048 |
Number Of Medicare Beneficiaries With Drug Services |
337 |
Total Drug Submitted ChargeAmount |
98676 |
Total Drug Medicare AllowedAmount |
35198 |
Total Drug Medicare PaymentAmount |
26647.72 |
Total Drug Medicare Standardized Payment Amount |
26647.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1898 |
Number Of Medicare Beneficiaries With Medical Services |
601 |
Total Medical Submitted Charge Amount |
1113133.6 |
Total Medical Medicare Allowed Amount |
312483.73 |
Total Medical Medicare Payment Amount |
236521.6 |
Total Medical Medicare Standardized Payment Amount |
204925.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
328 |
Number Of Male Beneficiaries |
274 |
Number Of Non Hispanic White Beneficiaries |
520 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
573 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
2 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
3 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
10 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7634 |