National Provider Identifier [NPI]: |
1720141153 |
Last Name Of The Provider |
CAPERNA |
First Name Of The Provider |
JOSEPH |
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 |
1855 1ST AVE |
Street Address 2 Of The Provider |
SUITE 200B |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921012685 |
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 |
79 |
Number Of Services |
3967 |
Number Of Medicare Beneficiaries |
450 |
Total Submitted Charge Amount |
436126 |
Total Medicare Allowed Amount |
296558.8 |
Total Medicare Payment Amount |
235496.04 |
Total Medicare Standardized Payment Amount |
228144.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
920 |
Number Of Medicare Beneficiaries With Drug Services |
229 |
Total Drug Submitted ChargeAmount |
27899 |
Total Drug Medicare AllowedAmount |
18062.73 |
Total Drug Medicare PaymentAmount |
17297.27 |
Total Drug Medicare Standardized Payment Amount |
17297.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3047 |
Number Of Medicare Beneficiaries With Medical Services |
450 |
Total Medical Submitted Charge Amount |
408227 |
Total Medical Medicare Allowed Amount |
278496.07 |
Total Medical Medicare Payment Amount |
218198.77 |
Total Medical Medicare Standardized Payment Amount |
210847.17 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
313 |
Number Of Beneficiaries Age 65 to 74 |
87 |
Number Of Beneficiaries Age 75 to 84 |
27 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
286 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
69 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
381 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
63 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.1098 |