National Provider Identifier [NPI]: |
1821032608 |
Last Name Of The Provider |
TROUM |
First Name Of The Provider |
ORRIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2336 SANTA MONICA BLVD |
Street Address 2 Of The Provider |
STE 207 |
City Of The Provider |
SANTA MONICA |
Zip Code Of The Provider |
904042095 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
10001 |
Number Of Medicare Beneficiaries |
754 |
Total Submitted Charge Amount |
1235678.66 |
Total Medicare Allowed Amount |
488944.09 |
Total Medicare Payment Amount |
381521.32 |
Total Medicare Standardized Payment Amount |
354132.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
532 |
Number Of Medicare Beneficiaries With Drug Services |
205 |
Total Drug Submitted ChargeAmount |
59470 |
Total Drug Medicare AllowedAmount |
25802.47 |
Total Drug Medicare PaymentAmount |
20244.83 |
Total Drug Medicare Standardized Payment Amount |
20244.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
9469 |
Number Of Medicare Beneficiaries With Medical Services |
754 |
Total Medical Submitted Charge Amount |
1176208.66 |
Total Medical Medicare Allowed Amount |
463141.62 |
Total Medical Medicare Payment Amount |
361276.49 |
Total Medical Medicare Standardized Payment Amount |
333887.88 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
552 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
590 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
58 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
591 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
29 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2007 |