National Provider Identifier [NPI]: |
1134215395 |
Last Name Of The Provider |
SHAYFER |
First Name Of The Provider |
SHAWN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16030 VENTURA BLVD STE 100 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ENCINO |
Zip Code Of The Provider |
914362754 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
168 |
Number Of Services |
8011 |
Number Of Medicare Beneficiaries |
1484 |
Total Submitted Charge Amount |
2133821.06 |
Total Medicare Allowed Amount |
704833.03 |
Total Medicare Payment Amount |
547573.3 |
Total Medicare Standardized Payment Amount |
505119.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1070 |
Number Of Medicare Beneficiaries With Drug Services |
560 |
Total Drug Submitted ChargeAmount |
87030 |
Total Drug Medicare AllowedAmount |
36294.44 |
Total Drug Medicare PaymentAmount |
28431.52 |
Total Drug Medicare Standardized Payment Amount |
28431.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
163 |
Number Of Medical Services |
6941 |
Number Of Medicare Beneficiaries With Medical Services |
1484 |
Total Medical Submitted Charge Amount |
2046791.06 |
Total Medical Medicare Allowed Amount |
668538.59 |
Total Medical Medicare Payment Amount |
519141.78 |
Total Medical Medicare Standardized Payment Amount |
476688.22 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
562 |
Number Of Beneficiaries Age 75 to 84 |
504 |
Number Of Beneficiaries Age Greater 84 |
342 |
Number Of Female Beneficiaries |
945 |
Number Of Male Beneficiaries |
539 |
Number Of Non Hispanic White Beneficiaries |
1283 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
81 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
56 |
Number Of Beneficiaries With Medicare Only Entitlement |
1048 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
436 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3701 |