National Provider Identifier [NPI]: |
1275538431 |
Last Name Of The Provider |
MAIER |
First Name Of The Provider |
IRWIN |
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 |
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 |
227 |
Number Of Services |
11211 |
Number Of Medicare Beneficiaries |
6305 |
Total Submitted Charge Amount |
1199800.25 |
Total Medicare Allowed Amount |
464798.87 |
Total Medicare Payment Amount |
344326.48 |
Total Medicare Standardized Payment Amount |
328364.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1436 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
3475 |
Total Drug Medicare AllowedAmount |
740.79 |
Total Drug Medicare PaymentAmount |
561.92 |
Total Drug Medicare Standardized Payment Amount |
561.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
221 |
Number Of Medical Services |
9775 |
Number Of Medicare Beneficiaries With Medical Services |
6305 |
Total Medical Submitted Charge Amount |
1196325.25 |
Total Medical Medicare Allowed Amount |
464058.08 |
Total Medical Medicare Payment Amount |
343764.56 |
Total Medical Medicare Standardized Payment Amount |
327802.72 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
1207 |
Number Of Beneficiaries Age 65 to 74 |
2490 |
Number Of Beneficiaries Age 75 to 84 |
1771 |
Number Of Beneficiaries Age Greater 84 |
837 |
Number Of Female Beneficiaries |
3691 |
Number Of Male Beneficiaries |
2614 |
Number Of Non Hispanic White Beneficiaries |
5746 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
76 |
Number Of Hispanic Beneficiaries |
224 |
Number Of American Indian Alaska Native Beneficiaries |
148 |
Number Of Beneficiaries With Race Not Else where Classified |
51 |
Number Of Beneficiaries With Medicare Only Entitlement |
4447 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1858 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3716 |