National Provider Identifier [NPI]: |
1588635734 |
Last Name Of The Provider |
RAUCH |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
677 N WILMOT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857112701 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
169 |
Number Of Services |
18699 |
Number Of Medicare Beneficiaries |
2325 |
Total Submitted Charge Amount |
620225.1 |
Total Medicare Allowed Amount |
206088.67 |
Total Medicare Payment Amount |
152618.59 |
Total Medicare Standardized Payment Amount |
155980.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
15307 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
15707 |
Total Drug Medicare AllowedAmount |
3051.11 |
Total Drug Medicare PaymentAmount |
2348.91 |
Total Drug Medicare Standardized Payment Amount |
2348.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
166 |
Number Of Medical Services |
3392 |
Number Of Medicare Beneficiaries With Medical Services |
2325 |
Total Medical Submitted Charge Amount |
604518.1 |
Total Medical Medicare Allowed Amount |
203037.56 |
Total Medical Medicare Payment Amount |
150269.68 |
Total Medical Medicare Standardized Payment Amount |
153631.85 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
231 |
Number Of Beneficiaries Age 65 to 74 |
940 |
Number Of Beneficiaries Age 75 to 84 |
755 |
Number Of Beneficiaries Age Greater 84 |
399 |
Number Of Female Beneficiaries |
1394 |
Number Of Male Beneficiaries |
931 |
Number Of Non Hispanic White Beneficiaries |
2034 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
179 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2021 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
304 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4815 |