National Provider Identifier [NPI]: |
1851365068 |
Last Name Of The Provider |
KAPJIAN |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
220 CALIFORNIA DR |
Street Address 2 Of The Provider |
C/O MEDICAL STAFF OFFICE |
City Of The Provider |
YOUNTVILLE |
Zip Code Of The Provider |
945991412 |
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 |
29 |
Number Of Services |
2817 |
Number Of Medicare Beneficiaries |
580 |
Total Submitted Charge Amount |
195134.87 |
Total Medicare Allowed Amount |
153349.29 |
Total Medicare Payment Amount |
117969.99 |
Total Medicare Standardized Payment Amount |
106468.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
384 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
11755.17 |
Total Drug Medicare AllowedAmount |
7506.23 |
Total Drug Medicare PaymentAmount |
6032.72 |
Total Drug Medicare Standardized Payment Amount |
6032.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
2433 |
Number Of Medicare Beneficiaries With Medical Services |
579 |
Total Medical Submitted Charge Amount |
183379.7 |
Total Medical Medicare Allowed Amount |
145843.06 |
Total Medical Medicare Payment Amount |
111937.27 |
Total Medical Medicare Standardized Payment Amount |
100435.83 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
219 |
Number Of Female Beneficiaries |
88 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
523 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
425 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
155 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8345 |