National Provider Identifier [NPI]: |
1770657876 |
Last Name Of The Provider |
ORELLANA |
First Name Of The Provider |
ISABEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PHYSICIAN ASSISTANT |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3000 Q ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958167058 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
476 |
Number Of Medicare Beneficiaries |
205 |
Total Submitted Charge Amount |
73962 |
Total Medicare Allowed Amount |
20342.33 |
Total Medicare Payment Amount |
12824.14 |
Total Medicare Standardized Payment Amount |
15191.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
4175 |
Total Drug Medicare AllowedAmount |
329.36 |
Total Drug Medicare PaymentAmount |
257.61 |
Total Drug Medicare Standardized Payment Amount |
257.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
364 |
Number Of Medicare Beneficiaries With Medical Services |
205 |
Total Medical Submitted Charge Amount |
69787 |
Total Medical Medicare Allowed Amount |
20012.97 |
Total Medical Medicare Payment Amount |
12566.53 |
Total Medical Medicare Standardized Payment Amount |
14933.75 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
65 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
137 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
126 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
106 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
99 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3978 |