National Provider Identifier [NPI]: |
1932187135 |
Last Name Of The Provider |
BOND |
First Name Of The Provider |
JEFFREY |
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 |
200 1ST ST SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER |
Zip Code Of The Provider |
559050001 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
100 |
Number Of Services |
6216 |
Number Of Medicare Beneficiaries |
2285 |
Total Submitted Charge Amount |
191207.59 |
Total Medicare Allowed Amount |
139045.8 |
Total Medicare Payment Amount |
100751.07 |
Total Medicare Standardized Payment Amount |
110326.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1380 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
1590.02 |
Total Drug Medicare AllowedAmount |
1448.62 |
Total Drug Medicare PaymentAmount |
974.92 |
Total Drug Medicare Standardized Payment Amount |
974.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
4836 |
Number Of Medicare Beneficiaries With Medical Services |
2285 |
Total Medical Submitted Charge Amount |
189617.57 |
Total Medical Medicare Allowed Amount |
137597.18 |
Total Medical Medicare Payment Amount |
99776.15 |
Total Medical Medicare Standardized Payment Amount |
109351.42 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
355 |
Number Of Beneficiaries Age 65 to 74 |
927 |
Number Of Beneficiaries Age 75 to 84 |
705 |
Number Of Beneficiaries Age Greater 84 |
298 |
Number Of Female Beneficiaries |
1189 |
Number Of Male Beneficiaries |
1096 |
Number Of Non Hispanic White Beneficiaries |
2159 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
1973 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
312 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5036 |