National Provider Identifier [NPI]: |
1447212691 |
Last Name Of The Provider |
GINSBURG |
First Name Of The Provider |
JERRY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
254 SAN JOSE ST |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
SALINAS |
Zip Code Of The Provider |
939013900 |
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 |
39 |
Number Of Services |
2992 |
Number Of Medicare Beneficiaries |
755 |
Total Submitted Charge Amount |
270566.39 |
Total Medicare Allowed Amount |
242740.74 |
Total Medicare Payment Amount |
173753.14 |
Total Medicare Standardized Payment Amount |
176700.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
77 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
824.36 |
Total Drug Medicare AllowedAmount |
653.31 |
Total Drug Medicare PaymentAmount |
630.11 |
Total Drug Medicare Standardized Payment Amount |
630.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2915 |
Number Of Medicare Beneficiaries With Medical Services |
755 |
Total Medical Submitted Charge Amount |
269742.03 |
Total Medical Medicare Allowed Amount |
242087.43 |
Total Medical Medicare Payment Amount |
173123.03 |
Total Medical Medicare Standardized Payment Amount |
176070.53 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
282 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
400 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
432 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
323 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7924 |