National Provider Identifier [NPI]: |
1932171733 |
Last Name Of The Provider |
SPEECE |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1867 E FIR AVE STE 104 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203808 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
309 |
Number Of Services |
10443 |
Number Of Medicare Beneficiaries |
3573 |
Total Submitted Charge Amount |
2603964.2 |
Total Medicare Allowed Amount |
560501.37 |
Total Medicare Payment Amount |
431455.66 |
Total Medicare Standardized Payment Amount |
418803.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
3499 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
6143 |
Total Drug Medicare AllowedAmount |
1398.88 |
Total Drug Medicare PaymentAmount |
1087.66 |
Total Drug Medicare Standardized Payment Amount |
1087.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
294 |
Number Of Medical Services |
6944 |
Number Of Medicare Beneficiaries With Medical Services |
3573 |
Total Medical Submitted Charge Amount |
2597821.2 |
Total Medical Medicare Allowed Amount |
559102.49 |
Total Medical Medicare Payment Amount |
430368 |
Total Medical Medicare Standardized Payment Amount |
417715.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
688 |
Number Of Beneficiaries Age 65 to 74 |
1255 |
Number Of Beneficiaries Age 75 to 84 |
1037 |
Number Of Beneficiaries Age Greater 84 |
593 |
Number Of Female Beneficiaries |
1914 |
Number Of Male Beneficiaries |
1659 |
Number Of Non Hispanic White Beneficiaries |
2037 |
Number Of Black or African American Beneficiaries |
217 |
Number Of AsianPacific Islander Beneficiaries |
265 |
Number Of Hispanic Beneficiaries |
979 |
Number Of American Indian Alaska Native Beneficiaries |
33 |
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
1865 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1708 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.3628 |