National Provider Identifier [NPI]: |
1952328478 |
Last Name Of The Provider |
POIRIER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 SACRAMENTO INN WAY |
Street Address 2 Of The Provider |
SUITE 116 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958153457 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
5271 |
Number Of Medicare Beneficiaries |
828 |
Total Submitted Charge Amount |
2019162.78 |
Total Medicare Allowed Amount |
1721757.78 |
Total Medicare Payment Amount |
1333521.43 |
Total Medicare Standardized Payment Amount |
1241007.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
612 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
80546 |
Total Drug Medicare AllowedAmount |
54958.48 |
Total Drug Medicare PaymentAmount |
43031.83 |
Total Drug Medicare Standardized Payment Amount |
43031.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
4659 |
Number Of Medicare Beneficiaries With Medical Services |
828 |
Total Medical Submitted Charge Amount |
1938616.78 |
Total Medical Medicare Allowed Amount |
1666799.3 |
Total Medical Medicare Payment Amount |
1290489.6 |
Total Medical Medicare Standardized Payment Amount |
1197975.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
469 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
389 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
159 |
Number Of Hispanic Beneficiaries |
228 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
416 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
412 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.276 |