National Provider Identifier [NPI]: |
1235110750 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
BRUCE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2780 EUREKA WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960010223 |
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 |
81 |
Number Of Services |
7518 |
Number Of Medicare Beneficiaries |
1510 |
Total Submitted Charge Amount |
1618597 |
Total Medicare Allowed Amount |
812026.63 |
Total Medicare Payment Amount |
591979.54 |
Total Medicare Standardized Payment Amount |
570423.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
464 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
49648 |
Total Drug Medicare AllowedAmount |
24583.02 |
Total Drug Medicare PaymentAmount |
18937.16 |
Total Drug Medicare Standardized Payment Amount |
18937.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
7054 |
Number Of Medicare Beneficiaries With Medical Services |
1510 |
Total Medical Submitted Charge Amount |
1568949 |
Total Medical Medicare Allowed Amount |
787443.61 |
Total Medical Medicare Payment Amount |
573042.38 |
Total Medical Medicare Standardized Payment Amount |
551486.23 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
576 |
Number Of Beneficiaries Age 75 to 84 |
600 |
Number Of Beneficiaries Age Greater 84 |
272 |
Number Of Female Beneficiaries |
675 |
Number Of Male Beneficiaries |
835 |
Number Of Non Hispanic White Beneficiaries |
1434 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
19 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1392 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.191 |