Medicare Facts for Dr. Mark J. Adame, MD


National Provider Identifier [NPI]: 1346245669
Last Name Of The Provider ADAME
First Name Of The Provider MARK
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1328 NATIVIDAD ROAD
Street Address 2 Of The Provider
City Of The Provider SALINAS
Zip Code Of The Provider 939063101
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 42
Number Of Services 1636
Number Of Medicare Beneficiaries 194
Total Submitted Charge Amount 76781.36
Total Medicare Allowed Amount 75677.76
Total Medicare Payment Amount 48051.62
Total Medicare Standardized Payment Amount 49759.28
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 14
Number Of Drug Services 573
Number Of Medicare Beneficiaries With Drug Services 72
Total Drug Submitted ChargeAmount 4918.79
Total Drug Medicare AllowedAmount 4425.36
Total Drug Medicare PaymentAmount 3141.3
Total Drug Medicare Standardized Payment Amount 3141.3
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 1063
Number Of Medicare Beneficiaries With Medical Services 194
Total Medical Submitted Charge Amount 71862.57
Total Medical Medicare Allowed Amount 71252.4
Total Medical Medicare Payment Amount 44910.32
Total Medical Medicare Standardized Payment Amount 46617.98
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 24
Number Of Beneficiaries Age 65 to 74 116
Number Of Beneficiaries Age 75 to 84 41
Number Of Beneficiaries Age Greater 84 13
Number Of Female Beneficiaries 111
Number Of Male Beneficiaries 83
Number Of Non Hispanic White Beneficiaries 99
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 77
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 182
Number Of Beneficiaries With Medicare Medicaid Entitlement 12
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 10
Percent Of With Cancer
Percent Of With Heart Failure 7
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 20
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 24
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.801

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