National Provider Identifier [NPI]: |
1356364475 |
Last Name Of The Provider |
CASEY |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4901 LANG AVE NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALBUQUERQUE |
Zip Code Of The Provider |
87109 |
State Code Of The Provider |
NM |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
11165 |
Number Of Medicare Beneficiaries |
1948 |
Total Submitted Charge Amount |
1180791 |
Total Medicare Allowed Amount |
374130.04 |
Total Medicare Payment Amount |
314818.59 |
Total Medicare Standardized Payment Amount |
297355.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
7671 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
9130 |
Total Drug Medicare AllowedAmount |
2091.46 |
Total Drug Medicare PaymentAmount |
1634.34 |
Total Drug Medicare Standardized Payment Amount |
1634.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
3494 |
Number Of Medicare Beneficiaries With Medical Services |
1948 |
Total Medical Submitted Charge Amount |
1171661 |
Total Medical Medicare Allowed Amount |
372038.58 |
Total Medical Medicare Payment Amount |
313184.25 |
Total Medical Medicare Standardized Payment Amount |
295721.46 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
304 |
Number Of Beneficiaries Age 65 to 74 |
1160 |
Number Of Beneficiaries Age 75 to 84 |
358 |
Number Of Beneficiaries Age Greater 84 |
126 |
Number Of Female Beneficiaries |
1683 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
1671 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
155 |
Number Of American Indian Alaska Native Beneficiaries |
31 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
396 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9261 |