National Provider Identifier [NPI]: |
1811089105 |
Last Name Of The Provider |
GOLDING |
First Name Of The Provider |
ROSS |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
590 EUREKA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895123425 |
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 |
13858 |
Number Of Medicare Beneficiaries |
4206 |
Total Submitted Charge Amount |
2292809.68 |
Total Medicare Allowed Amount |
617947.06 |
Total Medicare Payment Amount |
481039.03 |
Total Medicare Standardized Payment Amount |
479391.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
4701 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
11275.15 |
Total Drug Medicare AllowedAmount |
3272.36 |
Total Drug Medicare PaymentAmount |
2385.58 |
Total Drug Medicare Standardized Payment Amount |
2385.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
219 |
Number Of Medical Services |
9157 |
Number Of Medicare Beneficiaries With Medical Services |
4205 |
Total Medical Submitted Charge Amount |
2281534.53 |
Total Medical Medicare Allowed Amount |
614674.7 |
Total Medical Medicare Payment Amount |
478653.45 |
Total Medical Medicare Standardized Payment Amount |
477005.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
590 |
Number Of Beneficiaries Age 65 to 74 |
2133 |
Number Of Beneficiaries Age 75 to 84 |
1123 |
Number Of Beneficiaries Age Greater 84 |
360 |
Number Of Female Beneficiaries |
2883 |
Number Of Male Beneficiaries |
1323 |
Number Of Non Hispanic White Beneficiaries |
3661 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
277 |
Number Of American Indian Alaska Native Beneficiaries |
135 |
Number Of Beneficiaries With Race Not Else where Classified |
57 |
Number Of Beneficiaries With Medicare Only Entitlement |
3666 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
540 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0042 |