National Provider Identifier [NPI]: |
1639127566 |
Last Name Of The Provider |
SNYDER |
First Name Of The Provider |
PATRICIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9700 EL CAMINO REAL |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
ATASCADERO |
Zip Code Of The Provider |
934225569 |
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 |
74 |
Number Of Services |
2390 |
Number Of Medicare Beneficiaries |
448 |
Total Submitted Charge Amount |
279034.75 |
Total Medicare Allowed Amount |
180512.36 |
Total Medicare Payment Amount |
127164.68 |
Total Medicare Standardized Payment Amount |
123894.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
256 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
6826.25 |
Total Drug Medicare AllowedAmount |
3702.46 |
Total Drug Medicare PaymentAmount |
3459.05 |
Total Drug Medicare Standardized Payment Amount |
3459.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2134 |
Number Of Medicare Beneficiaries With Medical Services |
448 |
Total Medical Submitted Charge Amount |
272208.5 |
Total Medical Medicare Allowed Amount |
176809.9 |
Total Medical Medicare Payment Amount |
123705.63 |
Total Medical Medicare Standardized Payment Amount |
120435.16 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
245 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
298 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
407 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9085 |