National Provider Identifier [NPI]: |
1659399681 |
Last Name Of The Provider |
GRABIE |
First Name Of The Provider |
MORRIS |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 20TH ST STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA MONICA |
Zip Code Of The Provider |
904042088 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
14679 |
Number Of Medicare Beneficiaries |
1495 |
Total Submitted Charge Amount |
1550675 |
Total Medicare Allowed Amount |
1032761.07 |
Total Medicare Payment Amount |
818422.51 |
Total Medicare Standardized Payment Amount |
755017.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
154 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
3810 |
Total Drug Medicare AllowedAmount |
1622.46 |
Total Drug Medicare PaymentAmount |
1588.84 |
Total Drug Medicare Standardized Payment Amount |
1588.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
14525 |
Number Of Medicare Beneficiaries With Medical Services |
1495 |
Total Medical Submitted Charge Amount |
1546865 |
Total Medical Medicare Allowed Amount |
1031138.61 |
Total Medical Medicare Payment Amount |
816833.67 |
Total Medical Medicare Standardized Payment Amount |
753428.2 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
485 |
Number Of Beneficiaries Age 75 to 84 |
475 |
Number Of Beneficiaries Age Greater 84 |
440 |
Number Of Female Beneficiaries |
802 |
Number Of Male Beneficiaries |
693 |
Number Of Non Hispanic White Beneficiaries |
1122 |
Number Of Black or African American Beneficiaries |
125 |
Number Of AsianPacific Islander Beneficiaries |
61 |
Number Of Hispanic Beneficiaries |
149 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1069 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
426 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0785 |