National Provider Identifier [NPI]: |
1548203409 |
Last Name Of The Provider |
LINK |
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 |
400 PARNASSUS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941432202 |
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 |
94 |
Number Of Services |
3300 |
Number Of Medicare Beneficiaries |
2065 |
Total Submitted Charge Amount |
829187 |
Total Medicare Allowed Amount |
67886.61 |
Total Medicare Payment Amount |
50352.24 |
Total Medicare Standardized Payment Amount |
44774.66 |
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 |
94 |
Number Of Medical Services |
3300 |
Number Of Medicare Beneficiaries With Medical Services |
2065 |
Total Medical Submitted Charge Amount |
829187 |
Total Medical Medicare Allowed Amount |
67886.61 |
Total Medical Medicare Payment Amount |
50352.24 |
Total Medical Medicare Standardized Payment Amount |
44774.66 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
392 |
Number Of Beneficiaries Age 65 to 74 |
981 |
Number Of Beneficiaries Age 75 to 84 |
515 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
1271 |
Number Of Male Beneficiaries |
794 |
Number Of Non Hispanic White Beneficiaries |
1340 |
Number Of Black or African American Beneficiaries |
182 |
Number Of AsianPacific Islander Beneficiaries |
296 |
Number Of Hispanic Beneficiaries |
172 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
63 |
Number Of Beneficiaries With Medicare Only Entitlement |
1325 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
740 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4477 |