National Provider Identifier [NPI]: |
1174543474 |
Last Name Of The Provider |
ATKIN |
First Name Of The Provider |
DAVE |
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 |
1580 VALENCIA ST |
Street Address 2 Of The Provider |
SUITE 703 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941104423 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1325 |
Number Of Medicare Beneficiaries |
196 |
Total Submitted Charge Amount |
374278.69 |
Total Medicare Allowed Amount |
159843.06 |
Total Medicare Payment Amount |
121924.63 |
Total Medicare Standardized Payment Amount |
103788.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
346 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
57870.36 |
Total Drug Medicare AllowedAmount |
15131.73 |
Total Drug Medicare PaymentAmount |
11692.64 |
Total Drug Medicare Standardized Payment Amount |
11692.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
979 |
Number Of Medicare Beneficiaries With Medical Services |
195 |
Total Medical Submitted Charge Amount |
316408.33 |
Total Medical Medicare Allowed Amount |
144711.33 |
Total Medical Medicare Payment Amount |
110231.99 |
Total Medical Medicare Standardized Payment Amount |
92095.64 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
54 |
Number Of Non Hispanic White Beneficiaries |
38 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
99 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
65 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1385 |