National Provider Identifier [NPI]: |
1972568400 |
Last Name Of The Provider |
RHOADES |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 MABLE AVE |
Street Address 2 Of The Provider |
SUITE 2 |
City Of The Provider |
MODESTO |
Zip Code Of The Provider |
953551120 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
23806 |
Number Of Medicare Beneficiaries |
687 |
Total Submitted Charge Amount |
1088027 |
Total Medicare Allowed Amount |
813351.26 |
Total Medicare Payment Amount |
632679.07 |
Total Medicare Standardized Payment Amount |
637794.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
15160 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
132379 |
Total Drug Medicare AllowedAmount |
78913.2 |
Total Drug Medicare PaymentAmount |
61812.33 |
Total Drug Medicare Standardized Payment Amount |
61812.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
8646 |
Number Of Medicare Beneficiaries With Medical Services |
687 |
Total Medical Submitted Charge Amount |
955648 |
Total Medical Medicare Allowed Amount |
734438.06 |
Total Medical Medicare Payment Amount |
570866.74 |
Total Medical Medicare Standardized Payment Amount |
575982.38 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
425 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
432 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
519 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
110 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
316 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2716 |