National Provider Identifier [NPI]: |
1578512968 |
Last Name Of The Provider |
TURNAGE |
First Name Of The Provider |
JIMMY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D, PSYD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7930 FROST ST |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921232737 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
1372 |
Number Of Medicare Beneficiaries |
167 |
Total Submitted Charge Amount |
229635.62 |
Total Medicare Allowed Amount |
142206.05 |
Total Medicare Payment Amount |
112311.63 |
Total Medicare Standardized Payment Amount |
109511.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
745 |
Total Drug Medicare AllowedAmount |
335.32 |
Total Drug Medicare PaymentAmount |
325.18 |
Total Drug Medicare Standardized Payment Amount |
325.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1350 |
Number Of Medicare Beneficiaries With Medical Services |
167 |
Total Medical Submitted Charge Amount |
228890.62 |
Total Medical Medicare Allowed Amount |
141870.73 |
Total Medical Medicare Payment Amount |
111986.45 |
Total Medical Medicare Standardized Payment Amount |
109186.26 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
70 |
Number Of Male Beneficiaries |
97 |
Number Of Non Hispanic White Beneficiaries |
101 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
109 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.4112 |