National Provider Identifier [NPI]: |
1770658841 |
Last Name Of The Provider |
JOELSON |
First Name Of The Provider |
EALON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
795 EL CAMINO REAL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALO ALTO |
Zip Code Of The Provider |
943012302 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
10084 |
Number Of Medicare Beneficiaries |
259 |
Total Submitted Charge Amount |
382894 |
Total Medicare Allowed Amount |
148926.94 |
Total Medicare Payment Amount |
111892.93 |
Total Medicare Standardized Payment Amount |
101681.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
9437 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
150981 |
Total Drug Medicare AllowedAmount |
51995.83 |
Total Drug Medicare PaymentAmount |
40529.25 |
Total Drug Medicare Standardized Payment Amount |
40529.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
647 |
Number Of Medicare Beneficiaries With Medical Services |
259 |
Total Medical Submitted Charge Amount |
231913 |
Total Medical Medicare Allowed Amount |
96931.11 |
Total Medical Medicare Payment Amount |
71363.68 |
Total Medical Medicare Standardized Payment Amount |
61151.85 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
117 |
Number Of Non Hispanic White Beneficiaries |
212 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
235 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
0.9735 |