National Provider Identifier [NPI]: |
1407886682 |
Last Name Of The Provider |
SCHANER |
First Name Of The Provider |
MORRIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 PALOMINO LN |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064894 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
199 |
Number Of Services |
13836 |
Number Of Medicare Beneficiaries |
4117 |
Total Submitted Charge Amount |
1469567.4 |
Total Medicare Allowed Amount |
312054.88 |
Total Medicare Payment Amount |
239480.11 |
Total Medicare Standardized Payment Amount |
235676.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
7331 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
15758.23 |
Total Drug Medicare AllowedAmount |
2566.02 |
Total Drug Medicare PaymentAmount |
2011.73 |
Total Drug Medicare Standardized Payment Amount |
2011.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
193 |
Number Of Medical Services |
6505 |
Number Of Medicare Beneficiaries With Medical Services |
4116 |
Total Medical Submitted Charge Amount |
1453809.17 |
Total Medical Medicare Allowed Amount |
309488.86 |
Total Medical Medicare Payment Amount |
237468.38 |
Total Medical Medicare Standardized Payment Amount |
233665.04 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
961 |
Number Of Beneficiaries Age 65 to 74 |
1589 |
Number Of Beneficiaries Age 75 to 84 |
1103 |
Number Of Beneficiaries Age Greater 84 |
464 |
Number Of Female Beneficiaries |
2267 |
Number Of Male Beneficiaries |
1850 |
Number Of Non Hispanic White Beneficiaries |
2780 |
Number Of Black or African American Beneficiaries |
649 |
Number Of AsianPacific Islander Beneficiaries |
185 |
Number Of Hispanic Beneficiaries |
403 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
73 |
Number Of Beneficiaries With Medicare Only Entitlement |
2804 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1313 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.1242 |