National Provider Identifier [NPI]: |
1750318127 |
Last Name Of The Provider |
LAI |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1510 E MAIN ST |
Street Address 2 Of The Provider |
SUITE #104 |
City Of The Provider |
SANTA MARIA |
Zip Code Of The Provider |
934544825 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
4325 |
Number Of Medicare Beneficiaries |
1163 |
Total Submitted Charge Amount |
688465 |
Total Medicare Allowed Amount |
418400.94 |
Total Medicare Payment Amount |
302230.07 |
Total Medicare Standardized Payment Amount |
291876.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
838 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
23445 |
Total Drug Medicare AllowedAmount |
14740.92 |
Total Drug Medicare PaymentAmount |
11779.89 |
Total Drug Medicare Standardized Payment Amount |
11779.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
3487 |
Number Of Medicare Beneficiaries With Medical Services |
1163 |
Total Medical Submitted Charge Amount |
665020 |
Total Medical Medicare Allowed Amount |
403660.02 |
Total Medical Medicare Payment Amount |
290450.18 |
Total Medical Medicare Standardized Payment Amount |
280096.55 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
144 |
Number Of Beneficiaries Age 65 to 74 |
550 |
Number Of Beneficiaries Age 75 to 84 |
348 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
679 |
Number Of Male Beneficiaries |
484 |
Number Of Non Hispanic White Beneficiaries |
917 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
170 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
967 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2672 |