National Provider Identifier [NPI]: |
1891786141 |
Last Name Of The Provider |
AGUIAR-OLSEN |
First Name Of The Provider |
RINELY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2285 S ELKS LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
YUMA |
Zip Code Of The Provider |
853646258 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
8660 |
Number Of Medicare Beneficiaries |
1062 |
Total Submitted Charge Amount |
828949 |
Total Medicare Allowed Amount |
701361.27 |
Total Medicare Payment Amount |
535933.55 |
Total Medicare Standardized Payment Amount |
478829.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
109 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
1770 |
Total Drug Medicare AllowedAmount |
1023.97 |
Total Drug Medicare PaymentAmount |
994.19 |
Total Drug Medicare Standardized Payment Amount |
994.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
8551 |
Number Of Medicare Beneficiaries With Medical Services |
1062 |
Total Medical Submitted Charge Amount |
827179 |
Total Medical Medicare Allowed Amount |
700337.3 |
Total Medical Medicare Payment Amount |
534939.36 |
Total Medical Medicare Standardized Payment Amount |
477835.61 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
390 |
Number Of Beneficiaries Age 75 to 84 |
442 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
627 |
Number Of Male Beneficiaries |
435 |
Number Of Non Hispanic White Beneficiaries |
907 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
130 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
931 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.5177 |