National Provider Identifier [NPI]: |
1992702195 |
Last Name Of The Provider |
VOGEL |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 L ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165615 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
204 |
Number Of Services |
28400 |
Number Of Medicare Beneficiaries |
1148 |
Total Submitted Charge Amount |
3290467.5 |
Total Medicare Allowed Amount |
671585.54 |
Total Medicare Payment Amount |
522388.41 |
Total Medicare Standardized Payment Amount |
500620.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
26265 |
Number Of Medicare Beneficiaries With Drug Services |
262 |
Total Drug Submitted ChargeAmount |
29103 |
Total Drug Medicare AllowedAmount |
5817.98 |
Total Drug Medicare PaymentAmount |
4549.09 |
Total Drug Medicare Standardized Payment Amount |
4549.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
194 |
Number Of Medical Services |
2135 |
Number Of Medicare Beneficiaries With Medical Services |
1148 |
Total Medical Submitted Charge Amount |
3261364.5 |
Total Medical Medicare Allowed Amount |
665767.56 |
Total Medical Medicare Payment Amount |
517839.32 |
Total Medical Medicare Standardized Payment Amount |
496071.9 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
160 |
Number Of Beneficiaries Age 65 to 74 |
491 |
Number Of Beneficiaries Age 75 to 84 |
338 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
541 |
Number Of Non Hispanic White Beneficiaries |
849 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
97 |
Number Of Hispanic Beneficiaries |
96 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
848 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
300 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0134 |