National Provider Identifier [NPI]: |
1912079955 |
Last Name Of The Provider |
ISAACSON |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
444 S SAN VICENTE BLVD |
Street Address 2 Of The Provider |
SUITE 603 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900484165 |
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 |
67 |
Number Of Services |
2611 |
Number Of Medicare Beneficiaries |
479 |
Total Submitted Charge Amount |
280127.89 |
Total Medicare Allowed Amount |
143190.01 |
Total Medicare Payment Amount |
106246.8 |
Total Medicare Standardized Payment Amount |
98779.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1201 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
22506.92 |
Total Drug Medicare AllowedAmount |
15055.77 |
Total Drug Medicare PaymentAmount |
11698.81 |
Total Drug Medicare Standardized Payment Amount |
11698.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
1410 |
Number Of Medicare Beneficiaries With Medical Services |
479 |
Total Medical Submitted Charge Amount |
257620.97 |
Total Medical Medicare Allowed Amount |
128134.24 |
Total Medical Medicare Payment Amount |
94547.99 |
Total Medical Medicare Standardized Payment Amount |
87080.71 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
113 |
Number Of Female Beneficiaries |
313 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
396 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
376 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3127 |