National Provider Identifier [NPI]: |
1992734412 |
Last Name Of The Provider |
HARDEN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2510 AIRPARK DR |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960012449 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
6740 |
Number Of Medicare Beneficiaries |
1225 |
Total Submitted Charge Amount |
477496.4 |
Total Medicare Allowed Amount |
409436.29 |
Total Medicare Payment Amount |
293472.2 |
Total Medicare Standardized Payment Amount |
286340.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
1378 |
Number Of Medicare Beneficiaries With Drug Services |
600 |
Total Drug Submitted ChargeAmount |
42100.4 |
Total Drug Medicare AllowedAmount |
33470.42 |
Total Drug Medicare PaymentAmount |
31850.45 |
Total Drug Medicare Standardized Payment Amount |
31850.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
5362 |
Number Of Medicare Beneficiaries With Medical Services |
1224 |
Total Medical Submitted Charge Amount |
435396 |
Total Medical Medicare Allowed Amount |
375965.87 |
Total Medical Medicare Payment Amount |
261621.75 |
Total Medical Medicare Standardized Payment Amount |
254489.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
587 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
623 |
Number Of Male Beneficiaries |
602 |
Number Of Non Hispanic White Beneficiaries |
1173 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8685 |