National Provider Identifier [NPI]: |
1528254133 |
Last Name Of The Provider |
RASKIN |
First Name Of The Provider |
DAMON |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
881 ALMA REAL DR |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
PACIFIC PALISADES |
Zip Code Of The Provider |
902723731 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
7687 |
Number Of Medicare Beneficiaries |
740 |
Total Submitted Charge Amount |
771312 |
Total Medicare Allowed Amount |
478034.7 |
Total Medicare Payment Amount |
344529.32 |
Total Medicare Standardized Payment Amount |
326195.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
433 |
Number Of Medicare Beneficiaries With Drug Services |
273 |
Total Drug Submitted ChargeAmount |
22550 |
Total Drug Medicare AllowedAmount |
10129.58 |
Total Drug Medicare PaymentAmount |
9638.3 |
Total Drug Medicare Standardized Payment Amount |
9638.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
7254 |
Number Of Medicare Beneficiaries With Medical Services |
740 |
Total Medical Submitted Charge Amount |
748762 |
Total Medical Medicare Allowed Amount |
467905.12 |
Total Medical Medicare Payment Amount |
334891.02 |
Total Medical Medicare Standardized Payment Amount |
316557.42 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
672 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
673 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1571 |