National Provider Identifier [NPI]: |
1336364579 |
Last Name Of The Provider |
EICHER |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
UNIVERSITY OF NEBRASKA MEDICAL CTR |
Street Address 2 Of The Provider |
981045 NEBRASKA MEDICAL CENTER |
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681981045 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
227 |
Number Of Services |
5351 |
Number Of Medicare Beneficiaries |
3279 |
Total Submitted Charge Amount |
737171 |
Total Medicare Allowed Amount |
193950.87 |
Total Medicare Payment Amount |
147767.62 |
Total Medicare Standardized Payment Amount |
158970.97 |
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 |
227 |
Number Of Medical Services |
5351 |
Number Of Medicare Beneficiaries With Medical Services |
3279 |
Total Medical Submitted Charge Amount |
737171 |
Total Medical Medicare Allowed Amount |
193950.87 |
Total Medical Medicare Payment Amount |
147767.62 |
Total Medical Medicare Standardized Payment Amount |
158970.97 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
500 |
Number Of Beneficiaries Age 65 to 74 |
1261 |
Number Of Beneficiaries Age 75 to 84 |
959 |
Number Of Beneficiaries Age Greater 84 |
559 |
Number Of Female Beneficiaries |
1952 |
Number Of Male Beneficiaries |
1327 |
Number Of Non Hispanic White Beneficiaries |
3014 |
Number Of Black or African American Beneficiaries |
157 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2588 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
691 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6358 |