National Provider Identifier [NPI]: |
1023095320 |
Last Name Of The Provider |
WORK |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18370 BURBANK BLVD |
Street Address 2 Of The Provider |
SUITE 707 |
City Of The Provider |
TARZANA |
Zip Code Of The Provider |
913562804 |
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 |
55 |
Number Of Services |
4357 |
Number Of Medicare Beneficiaries |
815 |
Total Submitted Charge Amount |
1319586.96 |
Total Medicare Allowed Amount |
521357.54 |
Total Medicare Payment Amount |
391891.76 |
Total Medicare Standardized Payment Amount |
370151.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
256 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
32000 |
Total Drug Medicare AllowedAmount |
13553.54 |
Total Drug Medicare PaymentAmount |
10625.94 |
Total Drug Medicare Standardized Payment Amount |
10625.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
4101 |
Number Of Medicare Beneficiaries With Medical Services |
815 |
Total Medical Submitted Charge Amount |
1287586.96 |
Total Medical Medicare Allowed Amount |
507804 |
Total Medical Medicare Payment Amount |
381265.82 |
Total Medical Medicare Standardized Payment Amount |
359525.64 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
313 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
363 |
Number Of Male Beneficiaries |
452 |
Number Of Non Hispanic White Beneficiaries |
746 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
25 |
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 |
725 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6437 |