National Provider Identifier [NPI]: |
1124048350 |
Last Name Of The Provider |
ATTOUN |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 COURT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960011822 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
99030 |
Number Of Medicare Beneficiaries |
4754 |
Total Submitted Charge Amount |
3844032.1 |
Total Medicare Allowed Amount |
920089.01 |
Total Medicare Payment Amount |
690907.31 |
Total Medicare Standardized Payment Amount |
666863.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
91592 |
Number Of Medicare Beneficiaries With Drug Services |
856 |
Total Drug Submitted ChargeAmount |
93688 |
Total Drug Medicare AllowedAmount |
22375.05 |
Total Drug Medicare PaymentAmount |
17245.15 |
Total Drug Medicare Standardized Payment Amount |
17245.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
142 |
Number Of Medical Services |
7438 |
Number Of Medicare Beneficiaries With Medical Services |
4754 |
Total Medical Submitted Charge Amount |
3750344.1 |
Total Medical Medicare Allowed Amount |
897713.96 |
Total Medical Medicare Payment Amount |
673662.16 |
Total Medical Medicare Standardized Payment Amount |
649618.46 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1012 |
Number Of Beneficiaries Age 65 to 74 |
1778 |
Number Of Beneficiaries Age 75 to 84 |
1312 |
Number Of Beneficiaries Age Greater 84 |
652 |
Number Of Female Beneficiaries |
2657 |
Number Of Male Beneficiaries |
2097 |
Number Of Non Hispanic White Beneficiaries |
4313 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
199 |
Number Of American Indian Alaska Native Beneficiaries |
110 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
3238 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1516 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5148 |