National Provider Identifier [NPI]: |
1891979746 |
Last Name Of The Provider |
ALVARADO |
First Name Of The Provider |
ELISA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
630 S RAYMOND AVE |
Street Address 2 Of The Provider |
SUITE 340 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911053278 |
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 |
55 |
Number Of Services |
4292 |
Number Of Medicare Beneficiaries |
501 |
Total Submitted Charge Amount |
405081 |
Total Medicare Allowed Amount |
283338.27 |
Total Medicare Payment Amount |
209218.39 |
Total Medicare Standardized Payment Amount |
192376.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
261 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
10150 |
Total Drug Medicare AllowedAmount |
3050.31 |
Total Drug Medicare PaymentAmount |
2920.31 |
Total Drug Medicare Standardized Payment Amount |
2920.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4031 |
Number Of Medicare Beneficiaries With Medical Services |
501 |
Total Medical Submitted Charge Amount |
394931 |
Total Medical Medicare Allowed Amount |
280287.96 |
Total Medical Medicare Payment Amount |
206298.08 |
Total Medical Medicare Standardized Payment Amount |
189455.95 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
145 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
161 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
278 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
247 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5131 |