National Provider Identifier [NPI]: |
1043206204 |
Last Name Of The Provider |
ZACHRICH |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
821 E CHAPEL ST |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
SANTA MARIA |
Zip Code Of The Provider |
934544617 |
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 |
100 |
Number Of Services |
7783 |
Number Of Medicare Beneficiaries |
521 |
Total Submitted Charge Amount |
514062.45 |
Total Medicare Allowed Amount |
265798.06 |
Total Medicare Payment Amount |
207735.49 |
Total Medicare Standardized Payment Amount |
202840.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
335 |
Number Of Medicare Beneficiaries With Drug Services |
248 |
Total Drug Submitted ChargeAmount |
11865 |
Total Drug Medicare AllowedAmount |
5429.62 |
Total Drug Medicare PaymentAmount |
5279.15 |
Total Drug Medicare Standardized Payment Amount |
5279.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
7448 |
Number Of Medicare Beneficiaries With Medical Services |
521 |
Total Medical Submitted Charge Amount |
502197.45 |
Total Medical Medicare Allowed Amount |
260368.44 |
Total Medical Medicare Payment Amount |
202456.34 |
Total Medical Medicare Standardized Payment Amount |
197561.75 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
279 |
Number Of Male Beneficiaries |
242 |
Number Of Non Hispanic White Beneficiaries |
427 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2035 |