National Provider Identifier [NPI]: |
1144228180 |
Last Name Of The Provider |
GROGIN |
First Name Of The Provider |
HARLAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 SAN JOSE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALINAS |
Zip Code Of The Provider |
939013901 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
5293 |
Number Of Medicare Beneficiaries |
1435 |
Total Submitted Charge Amount |
1415118.63 |
Total Medicare Allowed Amount |
522229.27 |
Total Medicare Payment Amount |
392631.86 |
Total Medicare Standardized Payment Amount |
382414.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
316 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
39157 |
Total Drug Medicare AllowedAmount |
13577.92 |
Total Drug Medicare PaymentAmount |
10676.77 |
Total Drug Medicare Standardized Payment Amount |
10676.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
4977 |
Number Of Medicare Beneficiaries With Medical Services |
1435 |
Total Medical Submitted Charge Amount |
1375961.63 |
Total Medical Medicare Allowed Amount |
508651.35 |
Total Medical Medicare Payment Amount |
381955.09 |
Total Medical Medicare Standardized Payment Amount |
371737.95 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
466 |
Number Of Beneficiaries Age 75 to 84 |
507 |
Number Of Beneficiaries Age Greater 84 |
353 |
Number Of Female Beneficiaries |
736 |
Number Of Male Beneficiaries |
699 |
Number Of Non Hispanic White Beneficiaries |
1021 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
64 |
Number Of Hispanic Beneficiaries |
268 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1165 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6074 |