National Provider Identifier [NPI]: |
1407938731 |
Last Name Of The Provider |
WARD |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
909 HYDE ST |
Street Address 2 Of The Provider |
STE 317 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941094822 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
1281 |
Number Of Medicare Beneficiaries |
317 |
Total Submitted Charge Amount |
132222 |
Total Medicare Allowed Amount |
127075.06 |
Total Medicare Payment Amount |
89697.48 |
Total Medicare Standardized Payment Amount |
75447.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
1540 |
Total Drug Medicare AllowedAmount |
936.8 |
Total Drug Medicare PaymentAmount |
899.22 |
Total Drug Medicare Standardized Payment Amount |
899.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1218 |
Number Of Medicare Beneficiaries With Medical Services |
317 |
Total Medical Submitted Charge Amount |
130682 |
Total Medical Medicare Allowed Amount |
126138.26 |
Total Medical Medicare Payment Amount |
88798.26 |
Total Medical Medicare Standardized Payment Amount |
74548.51 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
153 |
Number Of Male Beneficiaries |
164 |
Number Of Non Hispanic White Beneficiaries |
240 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9412 |