National Provider Identifier [NPI]: |
1720071061 |
Last Name Of The Provider |
MOFFETT |
First Name Of The Provider |
EUGENE |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
185 E 7TH AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
CHICO |
Zip Code Of The Provider |
959263356 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
8504 |
Number Of Medicare Beneficiaries |
3182 |
Total Submitted Charge Amount |
1264742.37 |
Total Medicare Allowed Amount |
743329.68 |
Total Medicare Payment Amount |
550952.17 |
Total Medicare Standardized Payment Amount |
531594.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
272 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
15207.52 |
Total Drug Medicare AllowedAmount |
14409.79 |
Total Drug Medicare PaymentAmount |
11066.7 |
Total Drug Medicare Standardized Payment Amount |
11066.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
8232 |
Number Of Medicare Beneficiaries With Medical Services |
3182 |
Total Medical Submitted Charge Amount |
1249534.85 |
Total Medical Medicare Allowed Amount |
728919.89 |
Total Medical Medicare Payment Amount |
539885.47 |
Total Medical Medicare Standardized Payment Amount |
520528.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
374 |
Number Of Beneficiaries Age 65 to 74 |
1137 |
Number Of Beneficiaries Age 75 to 84 |
1017 |
Number Of Beneficiaries Age Greater 84 |
654 |
Number Of Female Beneficiaries |
1566 |
Number Of Male Beneficiaries |
1616 |
Number Of Non Hispanic White Beneficiaries |
2823 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
224 |
Number Of American Indian Alaska Native Beneficiaries |
38 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
2462 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
720 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5547 |