National Provider Identifier [NPI]: |
1447262050 |
Last Name Of The Provider |
SOHLICH |
First Name Of The Provider |
RITA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
795 EL CAMINO REAL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALO ALTO |
Zip Code Of The Provider |
943012302 |
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 |
85 |
Number Of Services |
6096 |
Number Of Medicare Beneficiaries |
2144 |
Total Submitted Charge Amount |
1306418.5 |
Total Medicare Allowed Amount |
419610.47 |
Total Medicare Payment Amount |
370789.5 |
Total Medicare Standardized Payment Amount |
293962.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1800 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
3000 |
Total Drug Medicare AllowedAmount |
788.54 |
Total Drug Medicare PaymentAmount |
618.15 |
Total Drug Medicare Standardized Payment Amount |
618.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
4296 |
Number Of Medicare Beneficiaries With Medical Services |
2144 |
Total Medical Submitted Charge Amount |
1303418.5 |
Total Medical Medicare Allowed Amount |
418821.93 |
Total Medical Medicare Payment Amount |
370171.35 |
Total Medical Medicare Standardized Payment Amount |
293344.49 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
1358 |
Number Of Beneficiaries Age 75 to 84 |
545 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
1920 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
1522 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
335 |
Number Of Hispanic Beneficiaries |
134 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
87 |
Number Of Beneficiaries With Medicare Only Entitlement |
1903 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7556 |