National Provider Identifier [NPI]: |
1568458966 |
Last Name Of The Provider |
BARTELL |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1221 E SPRUCE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203374 |
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 |
76 |
Number Of Services |
5199 |
Number Of Medicare Beneficiaries |
585 |
Total Submitted Charge Amount |
441838 |
Total Medicare Allowed Amount |
190635.75 |
Total Medicare Payment Amount |
158248.79 |
Total Medicare Standardized Payment Amount |
153512.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
218 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
4718 |
Total Drug Medicare AllowedAmount |
3358.61 |
Total Drug Medicare PaymentAmount |
3237.8 |
Total Drug Medicare Standardized Payment Amount |
3237.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
4981 |
Number Of Medicare Beneficiaries With Medical Services |
585 |
Total Medical Submitted Charge Amount |
437120 |
Total Medical Medicare Allowed Amount |
187277.14 |
Total Medical Medicare Payment Amount |
155010.99 |
Total Medical Medicare Standardized Payment Amount |
150274.91 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
502 |
Number Of Male Beneficiaries |
83 |
Number Of Non Hispanic White Beneficiaries |
523 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
28 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7859 |