National Provider Identifier [NPI]: |
1932251154 |
Last Name Of The Provider |
LOW |
First Name Of The Provider |
HENRY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1828 EL CAMINO REAL |
Street Address 2 Of The Provider |
SUITE 706 |
City Of The Provider |
BURLINGAME |
Zip Code Of The Provider |
940103122 |
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 |
18 |
Number Of Services |
2029 |
Number Of Medicare Beneficiaries |
270 |
Total Submitted Charge Amount |
382887 |
Total Medicare Allowed Amount |
205272.2 |
Total Medicare Payment Amount |
150136.08 |
Total Medicare Standardized Payment Amount |
138724.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
1960 |
Total Drug Medicare AllowedAmount |
918.25 |
Total Drug Medicare PaymentAmount |
899.89 |
Total Drug Medicare Standardized Payment Amount |
899.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
1998 |
Number Of Medicare Beneficiaries With Medical Services |
270 |
Total Medical Submitted Charge Amount |
380927 |
Total Medical Medicare Allowed Amount |
204353.95 |
Total Medical Medicare Payment Amount |
149236.19 |
Total Medical Medicare Standardized Payment Amount |
137825.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
152 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
104 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
98 |
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
55 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
215 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
53 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
2.4187 |