National Provider Identifier [NPI]: |
1952309437 |
Last Name Of The Provider |
HOLDEN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6327 N. FRESNO STREET |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937105236 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
2681 |
Number Of Medicare Beneficiaries |
1115 |
Total Submitted Charge Amount |
349810.34 |
Total Medicare Allowed Amount |
265059.54 |
Total Medicare Payment Amount |
206428.42 |
Total Medicare Standardized Payment Amount |
202819.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
2681 |
Number Of Medicare Beneficiaries With Medical Services |
1115 |
Total Medical Submitted Charge Amount |
349810.34 |
Total Medical Medicare Allowed Amount |
265059.54 |
Total Medical Medicare Payment Amount |
206428.42 |
Total Medical Medicare Standardized Payment Amount |
202819.92 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
619 |
Number Of Male Beneficiaries |
496 |
Number Of Non Hispanic White Beneficiaries |
759 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
60 |
Number Of Hispanic Beneficiaries |
214 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
733 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
382 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.4054 |