National Provider Identifier [NPI]: |
1942208848 |
Last Name Of The Provider |
ZETTERLUND |
First Name Of The Provider |
PATRIK |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 SAN JOSE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SALINAS |
Zip Code Of The Provider |
939013901 |
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 |
127 |
Number Of Services |
6114 |
Number Of Medicare Beneficiaries |
1545 |
Total Submitted Charge Amount |
1718193.1 |
Total Medicare Allowed Amount |
629687.89 |
Total Medicare Payment Amount |
473688.9 |
Total Medicare Standardized Payment Amount |
463212.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
675 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
87671 |
Total Drug Medicare AllowedAmount |
30313.48 |
Total Drug Medicare PaymentAmount |
23566.13 |
Total Drug Medicare Standardized Payment Amount |
23566.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
5439 |
Number Of Medicare Beneficiaries With Medical Services |
1545 |
Total Medical Submitted Charge Amount |
1630522.1 |
Total Medical Medicare Allowed Amount |
599374.41 |
Total Medical Medicare Payment Amount |
450122.77 |
Total Medical Medicare Standardized Payment Amount |
439646.71 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
110 |
Number Of Beneficiaries Age 65 to 74 |
538 |
Number Of Beneficiaries Age 75 to 84 |
581 |
Number Of Beneficiaries Age Greater 84 |
316 |
Number Of Female Beneficiaries |
787 |
Number Of Male Beneficiaries |
758 |
Number Of Non Hispanic White Beneficiaries |
1153 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
248 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1295 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
250 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4548 |