National Provider Identifier [NPI]: |
1639463144 |
Last Name Of The Provider |
OPPEZZO |
First Name Of The Provider |
BETSY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
P.A.-C, R.D, MSPAS |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2510 AIRPARK DR |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960012449 |
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 |
84 |
Number Of Services |
2998 |
Number Of Medicare Beneficiaries |
624 |
Total Submitted Charge Amount |
759775.76 |
Total Medicare Allowed Amount |
182334.62 |
Total Medicare Payment Amount |
128371.68 |
Total Medicare Standardized Payment Amount |
148111.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
669 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
23955 |
Total Drug Medicare AllowedAmount |
10209.95 |
Total Drug Medicare PaymentAmount |
8836.34 |
Total Drug Medicare Standardized Payment Amount |
8836.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
71 |
Number Of Medical Services |
2329 |
Number Of Medicare Beneficiaries With Medical Services |
624 |
Total Medical Submitted Charge Amount |
735820.76 |
Total Medical Medicare Allowed Amount |
172124.67 |
Total Medical Medicare Payment Amount |
119535.34 |
Total Medical Medicare Standardized Payment Amount |
139275.13 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
415 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
582 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2587 |