National Provider Identifier [NPI]: |
1568488971 |
Last Name Of The Provider |
BEY |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
M |
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 |
164 |
Number Of Services |
5687 |
Number Of Medicare Beneficiaries |
1034 |
Total Submitted Charge Amount |
1163546.25 |
Total Medicare Allowed Amount |
384880.13 |
Total Medicare Payment Amount |
297101.53 |
Total Medicare Standardized Payment Amount |
284877.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
3694 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
5773.75 |
Total Drug Medicare AllowedAmount |
835.55 |
Total Drug Medicare PaymentAmount |
636.23 |
Total Drug Medicare Standardized Payment Amount |
636.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
153 |
Number Of Medical Services |
1993 |
Number Of Medicare Beneficiaries With Medical Services |
1034 |
Total Medical Submitted Charge Amount |
1157772.5 |
Total Medical Medicare Allowed Amount |
384044.58 |
Total Medical Medicare Payment Amount |
296465.3 |
Total Medical Medicare Standardized Payment Amount |
284241.35 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
411 |
Number Of Beneficiaries Age 75 to 84 |
316 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
484 |
Number Of Non Hispanic White Beneficiaries |
942 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.977 |