National Provider Identifier [NPI]: |
1538294129 |
Last Name Of The Provider |
PILYUGINA |
First Name Of The Provider |
SVETLANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2222 SANTA MONICA BLVD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
SANTA MONICA |
Zip Code Of The Provider |
904042304 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
7346 |
Number Of Medicare Beneficiaries |
1166 |
Total Submitted Charge Amount |
2662163 |
Total Medicare Allowed Amount |
1407191.6 |
Total Medicare Payment Amount |
1080008.15 |
Total Medicare Standardized Payment Amount |
1050058.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1602 |
Number Of Medicare Beneficiaries With Drug Services |
262 |
Total Drug Submitted ChargeAmount |
1314047 |
Total Drug Medicare AllowedAmount |
883488.21 |
Total Drug Medicare PaymentAmount |
692171.86 |
Total Drug Medicare Standardized Payment Amount |
692171.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5744 |
Number Of Medicare Beneficiaries With Medical Services |
1166 |
Total Medical Submitted Charge Amount |
1348116 |
Total Medical Medicare Allowed Amount |
523703.39 |
Total Medical Medicare Payment Amount |
387836.29 |
Total Medical Medicare Standardized Payment Amount |
357886.92 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
372 |
Number Of Beneficiaries Age 75 to 84 |
437 |
Number Of Beneficiaries Age Greater 84 |
307 |
Number Of Female Beneficiaries |
714 |
Number Of Male Beneficiaries |
452 |
Number Of Non Hispanic White Beneficiaries |
905 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
133 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
685 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
481 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5025 |