National Provider Identifier [NPI]: |
1346319365 |
Last Name Of The Provider |
ARON |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3180 COLIMA RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
HACIENDA HEIGHTS |
Zip Code Of The Provider |
917456315 |
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 |
29 |
Number Of Services |
890 |
Number Of Medicare Beneficiaries |
236 |
Total Submitted Charge Amount |
69200 |
Total Medicare Allowed Amount |
56732.07 |
Total Medicare Payment Amount |
37125.55 |
Total Medicare Standardized Payment Amount |
34496.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
1655 |
Total Drug Medicare AllowedAmount |
1305.59 |
Total Drug Medicare PaymentAmount |
1266.04 |
Total Drug Medicare Standardized Payment Amount |
1266.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
808 |
Number Of Medicare Beneficiaries With Medical Services |
236 |
Total Medical Submitted Charge Amount |
67545 |
Total Medical Medicare Allowed Amount |
55426.48 |
Total Medical Medicare Payment Amount |
35859.51 |
Total Medical Medicare Standardized Payment Amount |
33230.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
127 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
136 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0286 |