National Provider Identifier [NPI]: |
1144238734 |
Last Name Of The Provider |
OHLFS |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2175 ROSALINE AVE |
Street Address 2 Of The Provider |
EMERGENCY MEDICINE DEPARTMENT |
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960012509 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1508 |
Number Of Medicare Beneficiaries |
1153 |
Total Submitted Charge Amount |
2048395 |
Total Medicare Allowed Amount |
204947.94 |
Total Medicare Payment Amount |
152451.76 |
Total Medicare Standardized Payment Amount |
151002.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1508 |
Number Of Medicare Beneficiaries With Medical Services |
1153 |
Total Medical Submitted Charge Amount |
2048395 |
Total Medical Medicare Allowed Amount |
204947.94 |
Total Medical Medicare Payment Amount |
152451.76 |
Total Medical Medicare Standardized Payment Amount |
151002.49 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
368 |
Number Of Beneficiaries Age 65 to 74 |
342 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
620 |
Number Of Male Beneficiaries |
533 |
Number Of Non Hispanic White Beneficiaries |
1037 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
41 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
624 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
529 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7314 |