National Provider Identifier [NPI]: |
1578521548 |
Last Name Of The Provider |
GIATTINA |
First Name Of The Provider |
MARA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 WHIPPLE AVE STE 230 |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDWOOD CITY |
Zip Code Of The Provider |
940622852 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
1420 |
Number Of Medicare Beneficiaries |
327 |
Total Submitted Charge Amount |
629280.86 |
Total Medicare Allowed Amount |
214190.89 |
Total Medicare Payment Amount |
159697.44 |
Total Medicare Standardized Payment Amount |
134528.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
7600 |
Total Drug Medicare AllowedAmount |
4026.41 |
Total Drug Medicare PaymentAmount |
3156.7 |
Total Drug Medicare Standardized Payment Amount |
3156.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
1344 |
Number Of Medicare Beneficiaries With Medical Services |
327 |
Total Medical Submitted Charge Amount |
621680.86 |
Total Medical Medicare Allowed Amount |
210164.48 |
Total Medical Medicare Payment Amount |
156540.74 |
Total Medical Medicare Standardized Payment Amount |
131371.57 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
106 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
196 |
Number Of Male Beneficiaries |
131 |
Number Of Non Hispanic White Beneficiaries |
290 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
305 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4059 |