National Provider Identifier [NPI]: |
1083661359 |
Last Name Of The Provider |
FINCHER |
First Name Of The Provider |
EDGAR |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
421 N RODEO DR |
Street Address 2 Of The Provider |
SUITE T-7 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902104500 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
4654 |
Number Of Medicare Beneficiaries |
646 |
Total Submitted Charge Amount |
1197988.72 |
Total Medicare Allowed Amount |
690848.24 |
Total Medicare Payment Amount |
533531.9 |
Total Medicare Standardized Payment Amount |
459726.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
6860 |
Total Drug Medicare AllowedAmount |
1381.95 |
Total Drug Medicare PaymentAmount |
1080.56 |
Total Drug Medicare Standardized Payment Amount |
1080.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4594 |
Number Of Medicare Beneficiaries With Medical Services |
646 |
Total Medical Submitted Charge Amount |
1191128.72 |
Total Medical Medicare Allowed Amount |
689466.29 |
Total Medical Medicare Payment Amount |
532451.34 |
Total Medical Medicare Standardized Payment Amount |
458646.11 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
261 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
273 |
Number Of Male Beneficiaries |
373 |
Number Of Non Hispanic White Beneficiaries |
609 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
615 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0885 |