National Provider Identifier [NPI]: |
1518150192 |
Last Name Of The Provider |
MESZAROS |
First Name Of The Provider |
TAMAR |
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 |
200 N ROBERTSON BLVD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902111769 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
291 |
Number Of Medicare Beneficiaries |
84 |
Total Submitted Charge Amount |
43912 |
Total Medicare Allowed Amount |
15251.65 |
Total Medicare Payment Amount |
11139.18 |
Total Medicare Standardized Payment Amount |
10260.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1018 |
Total Drug Medicare AllowedAmount |
575.25 |
Total Drug Medicare PaymentAmount |
563.74 |
Total Drug Medicare Standardized Payment Amount |
563.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
270 |
Number Of Medicare Beneficiaries With Medical Services |
83 |
Total Medical Submitted Charge Amount |
42894 |
Total Medical Medicare Allowed Amount |
14676.4 |
Total Medical Medicare Payment Amount |
10575.44 |
Total Medical Medicare Standardized Payment Amount |
9696.72 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
39 |
Number Of Beneficiaries Age 75 to 84 |
13 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
66 |
Number Of Male Beneficiaries |
18 |
Number Of Non Hispanic White Beneficiaries |
55 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
62 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
26 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
1.309 |