National Provider Identifier [NPI]: |
1407835952 |
Last Name Of The Provider |
GLOBERMAN |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16300 SAND CANYON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
IRVINE |
Zip Code Of The Provider |
926183711 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
4488 |
Number Of Medicare Beneficiaries |
741 |
Total Submitted Charge Amount |
341429 |
Total Medicare Allowed Amount |
248120.23 |
Total Medicare Payment Amount |
181156.71 |
Total Medicare Standardized Payment Amount |
157985.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
38 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
3095 |
Total Drug Medicare AllowedAmount |
2661.49 |
Total Drug Medicare PaymentAmount |
2084.64 |
Total Drug Medicare Standardized Payment Amount |
2084.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4450 |
Number Of Medicare Beneficiaries With Medical Services |
741 |
Total Medical Submitted Charge Amount |
338334 |
Total Medical Medicare Allowed Amount |
245458.74 |
Total Medical Medicare Payment Amount |
179072.07 |
Total Medical Medicare Standardized Payment Amount |
155900.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
447 |
Number Of Beneficiaries Age 75 to 84 |
190 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
508 |
Number Of Male Beneficiaries |
233 |
Number Of Non Hispanic White Beneficiaries |
670 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
705 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.871 |