National Provider Identifier [NPI]: |
1699751222 |
Last Name Of The Provider |
MUSNI |
First Name Of The Provider |
EVELYN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 MOWRY AVE STE 201 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREMONT |
Zip Code Of The Provider |
945381722 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nuclear Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
9432 |
Number Of Medicare Beneficiaries |
554 |
Total Submitted Charge Amount |
2695440.3 |
Total Medicare Allowed Amount |
1184900.74 |
Total Medicare Payment Amount |
926034.66 |
Total Medicare Standardized Payment Amount |
869616.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4750 |
Number Of Medicare Beneficiaries With Drug Services |
538 |
Total Drug Submitted ChargeAmount |
59230 |
Total Drug Medicare AllowedAmount |
9164.98 |
Total Drug Medicare PaymentAmount |
7181.91 |
Total Drug Medicare Standardized Payment Amount |
7181.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
4682 |
Number Of Medicare Beneficiaries With Medical Services |
552 |
Total Medical Submitted Charge Amount |
2636210.3 |
Total Medical Medicare Allowed Amount |
1175735.76 |
Total Medical Medicare Payment Amount |
918852.75 |
Total Medical Medicare Standardized Payment Amount |
862434.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
213 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
235 |
Number Of Non Hispanic White Beneficiaries |
75 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
189 |
Number Of Hispanic Beneficiaries |
217 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
102 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
452 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5777 |