National Provider Identifier [NPI]: |
1396727756 |
Last Name Of The Provider |
VOGEL |
First Name Of The Provider |
RAINER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10561 JEFFREYS ST |
Street Address 2 Of The Provider |
SUITE 211 |
City Of The Provider |
HENDERSON |
Zip Code Of The Provider |
890524266 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
5081 |
Number Of Medicare Beneficiaries |
280 |
Total Submitted Charge Amount |
1514873 |
Total Medicare Allowed Amount |
336427.18 |
Total Medicare Payment Amount |
248613.07 |
Total Medicare Standardized Payment Amount |
243814.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1543 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
51455 |
Total Drug Medicare AllowedAmount |
13166.33 |
Total Drug Medicare PaymentAmount |
10189.53 |
Total Drug Medicare Standardized Payment Amount |
10189.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
3538 |
Number Of Medicare Beneficiaries With Medical Services |
280 |
Total Medical Submitted Charge Amount |
1463418 |
Total Medical Medicare Allowed Amount |
323260.85 |
Total Medical Medicare Payment Amount |
238423.54 |
Total Medical Medicare Standardized Payment Amount |
233625.03 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
74 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
176 |
Number Of Male Beneficiaries |
104 |
Number Of Non Hispanic White Beneficiaries |
237 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
241 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4343 |