National Provider Identifier [NPI]: |
1558581629 |
Last Name Of The Provider |
ARRAUT |
First Name Of The Provider |
ALFREDO |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10180 SE SUNNYSIDE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLACKAMAS |
Zip Code Of The Provider |
970158970 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
4509 |
Number Of Medicare Beneficiaries |
3195 |
Total Submitted Charge Amount |
610976.46 |
Total Medicare Allowed Amount |
133731.42 |
Total Medicare Payment Amount |
100807.54 |
Total Medicare Standardized Payment Amount |
104985.9 |
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 |
181 |
Number Of Medical Services |
4509 |
Number Of Medicare Beneficiaries With Medical Services |
3195 |
Total Medical Submitted Charge Amount |
610976.46 |
Total Medical Medicare Allowed Amount |
133731.42 |
Total Medical Medicare Payment Amount |
100807.54 |
Total Medical Medicare Standardized Payment Amount |
104985.9 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
490 |
Number Of Beneficiaries Age 65 to 74 |
1131 |
Number Of Beneficiaries Age 75 to 84 |
951 |
Number Of Beneficiaries Age Greater 84 |
623 |
Number Of Female Beneficiaries |
1887 |
Number Of Male Beneficiaries |
1308 |
Number Of Non Hispanic White Beneficiaries |
2696 |
Number Of Black or African American Beneficiaries |
187 |
Number Of AsianPacific Islander Beneficiaries |
76 |
Number Of Hispanic Beneficiaries |
192 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
2475 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
720 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0114 |