National Provider Identifier [NPI]: |
1467478875 |
Last Name Of The Provider |
SAIDMAN |
First Name Of The Provider |
SANDER |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 COURT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960011822 |
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 |
209 |
Number Of Services |
11692 |
Number Of Medicare Beneficiaries |
6902 |
Total Submitted Charge Amount |
1322316.5 |
Total Medicare Allowed Amount |
501526.5 |
Total Medicare Payment Amount |
365589.25 |
Total Medicare Standardized Payment Amount |
349277.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
904 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
2722 |
Total Drug Medicare AllowedAmount |
575.35 |
Total Drug Medicare PaymentAmount |
439.42 |
Total Drug Medicare Standardized Payment Amount |
439.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
205 |
Number Of Medical Services |
10788 |
Number Of Medicare Beneficiaries With Medical Services |
6902 |
Total Medical Submitted Charge Amount |
1319594.5 |
Total Medical Medicare Allowed Amount |
500951.15 |
Total Medical Medicare Payment Amount |
365149.83 |
Total Medical Medicare Standardized Payment Amount |
348838.11 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1356 |
Number Of Beneficiaries Age 65 to 74 |
2719 |
Number Of Beneficiaries Age 75 to 84 |
1929 |
Number Of Beneficiaries Age Greater 84 |
898 |
Number Of Female Beneficiaries |
4022 |
Number Of Male Beneficiaries |
2880 |
Number Of Non Hispanic White Beneficiaries |
6256 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
84 |
Number Of Hispanic Beneficiaries |
269 |
Number Of American Indian Alaska Native Beneficiaries |
186 |
Number Of Beneficiaries With Race Not Else where Classified |
43 |
Number Of Beneficiaries With Medicare Only Entitlement |
4780 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2122 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3634 |