National Provider Identifier [NPI]: |
1851483127 |
Last Name Of The Provider |
OBERSTEIN |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1501 TROUSDALE DR |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
BURLINGAME |
Zip Code Of The Provider |
940104506 |
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 |
30 |
Number Of Services |
402 |
Number Of Medicare Beneficiaries |
153 |
Total Submitted Charge Amount |
69755 |
Total Medicare Allowed Amount |
34970.41 |
Total Medicare Payment Amount |
26296.69 |
Total Medicare Standardized Payment Amount |
22437.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1637 |
Total Drug Medicare AllowedAmount |
1586.66 |
Total Drug Medicare PaymentAmount |
1550.63 |
Total Drug Medicare Standardized Payment Amount |
1550.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
349 |
Number Of Medicare Beneficiaries With Medical Services |
152 |
Total Medical Submitted Charge Amount |
68118 |
Total Medical Medicare Allowed Amount |
33383.75 |
Total Medical Medicare Payment Amount |
24746.06 |
Total Medical Medicare Standardized Payment Amount |
20886.66 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
71 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
121 |
Number Of Male Beneficiaries |
32 |
Number Of Non Hispanic White Beneficiaries |
130 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
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 |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
14 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9616 |