National Provider Identifier [NPI]: |
1285698381 |
Last Name Of The Provider |
REINER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1320 E CALVADA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PAHRUMP |
Zip Code Of The Provider |
89048 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
3078 |
Number Of Medicare Beneficiaries |
697 |
Total Submitted Charge Amount |
689715.8 |
Total Medicare Allowed Amount |
333784.04 |
Total Medicare Payment Amount |
240134.2 |
Total Medicare Standardized Payment Amount |
233296.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
856 |
Total Drug Medicare AllowedAmount |
260.29 |
Total Drug Medicare PaymentAmount |
235.19 |
Total Drug Medicare Standardized Payment Amount |
235.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
3038 |
Number Of Medicare Beneficiaries With Medical Services |
697 |
Total Medical Submitted Charge Amount |
688859.8 |
Total Medical Medicare Allowed Amount |
333523.75 |
Total Medical Medicare Payment Amount |
239899.01 |
Total Medical Medicare Standardized Payment Amount |
233061.73 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
376 |
Number Of Male Beneficiaries |
321 |
Number Of Non Hispanic White Beneficiaries |
584 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
531 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2747 |