National Provider Identifier [NPI]: |
1205884897 |
Last Name Of The Provider |
SNEIDER |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
39000 BOB HOPE DR |
Street Address 2 Of The Provider |
WRIGHT BLDG 201 |
City Of The Provider |
RANCHO MIRAGE |
Zip Code Of The Provider |
922703221 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
2889 |
Number Of Medicare Beneficiaries |
998 |
Total Submitted Charge Amount |
633325.09 |
Total Medicare Allowed Amount |
191371.87 |
Total Medicare Payment Amount |
143606.34 |
Total Medicare Standardized Payment Amount |
140676.03 |
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 |
28 |
Number Of Medical Services |
2889 |
Number Of Medicare Beneficiaries With Medical Services |
998 |
Total Medical Submitted Charge Amount |
633325.09 |
Total Medical Medicare Allowed Amount |
191371.87 |
Total Medical Medicare Payment Amount |
143606.34 |
Total Medical Medicare Standardized Payment Amount |
140676.03 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
327 |
Number Of Beneficiaries Age 75 to 84 |
410 |
Number Of Beneficiaries Age Greater 84 |
228 |
Number Of Female Beneficiaries |
487 |
Number Of Male Beneficiaries |
511 |
Number Of Non Hispanic White Beneficiaries |
933 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
943 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7393 |