National Provider Identifier [NPI]: |
1669563417 |
Last Name Of The Provider |
O'CONNELL |
First Name Of The Provider |
RION |
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 |
645 N ARLINGTON AVE |
Street Address 2 Of The Provider |
SUITE250A |
City Of The Provider |
RENO |
Zip Code Of The Provider |
895034505 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
227 |
Number Of Services |
5003 |
Number Of Medicare Beneficiaries |
2430 |
Total Submitted Charge Amount |
660179.38 |
Total Medicare Allowed Amount |
173614.37 |
Total Medicare Payment Amount |
129632.04 |
Total Medicare Standardized Payment Amount |
128216.71 |
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 |
227 |
Number Of Medical Services |
5003 |
Number Of Medicare Beneficiaries With Medical Services |
2430 |
Total Medical Submitted Charge Amount |
660179.38 |
Total Medical Medicare Allowed Amount |
173614.37 |
Total Medical Medicare Payment Amount |
129632.04 |
Total Medical Medicare Standardized Payment Amount |
128216.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
447 |
Number Of Beneficiaries Age 65 to 74 |
992 |
Number Of Beneficiaries Age 75 to 84 |
670 |
Number Of Beneficiaries Age Greater 84 |
321 |
Number Of Female Beneficiaries |
1349 |
Number Of Male Beneficiaries |
1081 |
Number Of Non Hispanic White Beneficiaries |
2100 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
151 |
Number Of American Indian Alaska Native Beneficiaries |
48 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1964 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
466 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5783 |