National Provider Identifier [NPI]: |
1205812963 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
619 E BLITHEDALE AVE |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
MILL VALLEY |
Zip Code Of The Provider |
949411468 |
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 |
50 |
Number Of Services |
2627 |
Number Of Medicare Beneficiaries |
776 |
Total Submitted Charge Amount |
316506 |
Total Medicare Allowed Amount |
225345.93 |
Total Medicare Payment Amount |
168684.9 |
Total Medicare Standardized Payment Amount |
148532.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
274 |
Number Of Medicare Beneficiaries With Drug Services |
182 |
Total Drug Submitted ChargeAmount |
16631 |
Total Drug Medicare AllowedAmount |
11402.73 |
Total Drug Medicare PaymentAmount |
11141.51 |
Total Drug Medicare Standardized Payment Amount |
11141.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2353 |
Number Of Medicare Beneficiaries With Medical Services |
775 |
Total Medical Submitted Charge Amount |
299875 |
Total Medical Medicare Allowed Amount |
213943.2 |
Total Medical Medicare Payment Amount |
157543.39 |
Total Medical Medicare Standardized Payment Amount |
137391.08 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
430 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
691 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
12 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.7366 |