National Provider Identifier [NPI]: |
1417083791 |
Last Name Of The Provider |
MELTZER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD INC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8920 WILSHIRE BLVD |
Street Address 2 Of The Provider |
SUITE 333 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902112007 |
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 |
25 |
Number Of Services |
3314 |
Number Of Medicare Beneficiaries |
266 |
Total Submitted Charge Amount |
496370 |
Total Medicare Allowed Amount |
293121.29 |
Total Medicare Payment Amount |
228218.81 |
Total Medicare Standardized Payment Amount |
214854.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
1017 |
Total Drug Medicare AllowedAmount |
464.55 |
Total Drug Medicare PaymentAmount |
450.7 |
Total Drug Medicare Standardized Payment Amount |
450.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
3295 |
Number Of Medicare Beneficiaries With Medical Services |
266 |
Total Medical Submitted Charge Amount |
495353 |
Total Medical Medicare Allowed Amount |
292656.74 |
Total Medical Medicare Payment Amount |
227768.11 |
Total Medical Medicare Standardized Payment Amount |
214403.74 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
52 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
133 |
Number Of Non Hispanic White Beneficiaries |
123 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
89 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
177 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
51 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
66 |
Percent Of With Chronic Kidney Disease |
69 |
Percent Of With Chronic Obstructive Pulmonary Disease |
55 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
48 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
3.8289 |