National Provider Identifier [NPI]: |
1932171808 |
Last Name Of The Provider |
LITTRELL |
First Name Of The Provider |
LAUREL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
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 |
173 |
Number Of Services |
4813 |
Number Of Medicare Beneficiaries |
2256 |
Total Submitted Charge Amount |
772449.15 |
Total Medicare Allowed Amount |
146615.8 |
Total Medicare Payment Amount |
116785.58 |
Total Medicare Standardized Payment Amount |
123157.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
197 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
412.14 |
Total Drug Medicare AllowedAmount |
412.14 |
Total Drug Medicare PaymentAmount |
297.89 |
Total Drug Medicare Standardized Payment Amount |
297.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
4616 |
Number Of Medicare Beneficiaries With Medical Services |
2256 |
Total Medical Submitted Charge Amount |
772037.01 |
Total Medical Medicare Allowed Amount |
146203.66 |
Total Medical Medicare Payment Amount |
116487.69 |
Total Medical Medicare Standardized Payment Amount |
122859.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
398 |
Number Of Beneficiaries Age 65 to 74 |
1006 |
Number Of Beneficiaries Age 75 to 84 |
559 |
Number Of Beneficiaries Age Greater 84 |
293 |
Number Of Female Beneficiaries |
1635 |
Number Of Male Beneficiaries |
621 |
Number Of Non Hispanic White Beneficiaries |
2196 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1706 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
550 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1568 |