National Provider Identifier [NPI]: |
1407937519 |
Last Name Of The Provider |
PARKER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
763 ALTOS OAKS DR |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
LOS ALTOS |
Zip Code Of The Provider |
940245496 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
2603 |
Number Of Medicare Beneficiaries |
511 |
Total Submitted Charge Amount |
926347 |
Total Medicare Allowed Amount |
254841.73 |
Total Medicare Payment Amount |
191687.86 |
Total Medicare Standardized Payment Amount |
164038.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
602 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
28280 |
Total Drug Medicare AllowedAmount |
3877.05 |
Total Drug Medicare PaymentAmount |
3004.38 |
Total Drug Medicare Standardized Payment Amount |
3004.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
2001 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
898067 |
Total Medical Medicare Allowed Amount |
250964.68 |
Total Medical Medicare Payment Amount |
188683.48 |
Total Medical Medicare Standardized Payment Amount |
161033.91 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
184 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
441 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
480 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0258 |