National Provider Identifier [NPI]: |
1437165602 |
Last Name Of The Provider |
CLARIZIO |
First Name Of The Provider |
DINO |
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 |
1505 S BALDWIN AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
ARCADIA |
Zip Code Of The Provider |
910077925 |
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 |
42 |
Number Of Services |
5896 |
Number Of Medicare Beneficiaries |
856 |
Total Submitted Charge Amount |
481337 |
Total Medicare Allowed Amount |
396157.36 |
Total Medicare Payment Amount |
290856.5 |
Total Medicare Standardized Payment Amount |
272718.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
660 |
Number Of Medicare Beneficiaries With Drug Services |
251 |
Total Drug Submitted ChargeAmount |
17425 |
Total Drug Medicare AllowedAmount |
4360.3 |
Total Drug Medicare PaymentAmount |
4129.31 |
Total Drug Medicare Standardized Payment Amount |
4129.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5236 |
Number Of Medicare Beneficiaries With Medical Services |
856 |
Total Medical Submitted Charge Amount |
463912 |
Total Medical Medicare Allowed Amount |
391797.06 |
Total Medical Medicare Payment Amount |
286727.19 |
Total Medical Medicare Standardized Payment Amount |
268589.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
287 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
533 |
Number Of Male Beneficiaries |
323 |
Number Of Non Hispanic White Beneficiaries |
537 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
218 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
530 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
326 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9946 |