National Provider Identifier [NPI]: |
1851356745 |
Last Name Of The Provider |
SOLDO |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 W HUNTINGTON DRIVE |
Street Address 2 Of The Provider |
SUITE 500 |
City Of The Provider |
ARCADIA |
Zip Code Of The Provider |
91007 |
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 |
67 |
Number Of Services |
10786 |
Number Of Medicare Beneficiaries |
1608 |
Total Submitted Charge Amount |
1752400 |
Total Medicare Allowed Amount |
559471.92 |
Total Medicare Payment Amount |
420790.95 |
Total Medicare Standardized Payment Amount |
388362.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4530 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
15100 |
Total Drug Medicare AllowedAmount |
12572.1 |
Total Drug Medicare PaymentAmount |
9856.61 |
Total Drug Medicare Standardized Payment Amount |
9856.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
6256 |
Number Of Medicare Beneficiaries With Medical Services |
1608 |
Total Medical Submitted Charge Amount |
1737300 |
Total Medical Medicare Allowed Amount |
546899.82 |
Total Medical Medicare Payment Amount |
410934.34 |
Total Medical Medicare Standardized Payment Amount |
378505.98 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
431 |
Number Of Beneficiaries Age 75 to 84 |
587 |
Number Of Beneficiaries Age Greater 84 |
463 |
Number Of Female Beneficiaries |
890 |
Number Of Male Beneficiaries |
718 |
Number Of Non Hispanic White Beneficiaries |
1009 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
217 |
Number Of Hispanic Beneficiaries |
288 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1061 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
547 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1527 |