National Provider Identifier [NPI]: |
1720020902 |
Last Name Of The Provider |
SIGEL |
First Name Of The Provider |
RICHARD |
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 |
2125 OAK GROVE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945982536 |
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 |
175 |
Number Of Services |
26657 |
Number Of Medicare Beneficiaries |
2152 |
Total Submitted Charge Amount |
1452105 |
Total Medicare Allowed Amount |
270419.23 |
Total Medicare Payment Amount |
208606.39 |
Total Medicare Standardized Payment Amount |
184581.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23655 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
26728 |
Total Drug Medicare AllowedAmount |
7506.8 |
Total Drug Medicare PaymentAmount |
5854.87 |
Total Drug Medicare Standardized Payment Amount |
5854.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
3002 |
Number Of Medicare Beneficiaries With Medical Services |
2152 |
Total Medical Submitted Charge Amount |
1425377 |
Total Medical Medicare Allowed Amount |
262912.43 |
Total Medical Medicare Payment Amount |
202751.52 |
Total Medical Medicare Standardized Payment Amount |
178726.89 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
231 |
Number Of Beneficiaries Age 65 to 74 |
734 |
Number Of Beneficiaries Age 75 to 84 |
651 |
Number Of Beneficiaries Age Greater 84 |
536 |
Number Of Female Beneficiaries |
1218 |
Number Of Male Beneficiaries |
934 |
Number Of Non Hispanic White Beneficiaries |
1708 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
145 |
Number Of Hispanic Beneficiaries |
150 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1706 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
446 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.8616 |