National Provider Identifier [NPI]: |
1891746574 |
Last Name Of The Provider |
JASMER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1720 EL CAMINO REAL |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
BURLINGAME |
Zip Code Of The Provider |
940103224 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2495 |
Number Of Medicare Beneficiaries |
578 |
Total Submitted Charge Amount |
737478.28 |
Total Medicare Allowed Amount |
337889.33 |
Total Medicare Payment Amount |
259684.24 |
Total Medicare Standardized Payment Amount |
228532.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
2940 |
Total Drug Medicare AllowedAmount |
1777.15 |
Total Drug Medicare PaymentAmount |
1738.27 |
Total Drug Medicare Standardized Payment Amount |
1738.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2439 |
Number Of Medicare Beneficiaries With Medical Services |
578 |
Total Medical Submitted Charge Amount |
734538.28 |
Total Medical Medicare Allowed Amount |
336112.18 |
Total Medical Medicare Payment Amount |
257945.97 |
Total Medical Medicare Standardized Payment Amount |
226794.1 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
299 |
Number Of Male Beneficiaries |
279 |
Number Of Non Hispanic White Beneficiaries |
475 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
30 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8669 |