National Provider Identifier [NPI]: |
1316995970 |
Last Name Of The Provider |
GARNICA |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
143 N CLARK ST |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937012182 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
8410 |
Number Of Medicare Beneficiaries |
838 |
Total Submitted Charge Amount |
1013485 |
Total Medicare Allowed Amount |
487405.98 |
Total Medicare Payment Amount |
340983.12 |
Total Medicare Standardized Payment Amount |
327996.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
994 |
Number Of Medicare Beneficiaries With Drug Services |
258 |
Total Drug Submitted ChargeAmount |
41134 |
Total Drug Medicare AllowedAmount |
4444 |
Total Drug Medicare PaymentAmount |
4123.39 |
Total Drug Medicare Standardized Payment Amount |
4123.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
7416 |
Number Of Medicare Beneficiaries With Medical Services |
838 |
Total Medical Submitted Charge Amount |
972351 |
Total Medical Medicare Allowed Amount |
482961.98 |
Total Medical Medicare Payment Amount |
336859.73 |
Total Medical Medicare Standardized Payment Amount |
323873.49 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
296 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
486 |
Number Of Male Beneficiaries |
352 |
Number Of Non Hispanic White Beneficiaries |
297 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
32 |
Number Of Hispanic Beneficiaries |
419 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
70 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
768 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2945 |