National Provider Identifier [NPI]: |
1164559837 |
Last Name Of The Provider |
PRESSMAN |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8700 BEVERLY BLVD |
Street Address 2 Of The Provider |
ROOM M335 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
90048 |
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 |
74 |
Number Of Services |
2202 |
Number Of Medicare Beneficiaries |
1669 |
Total Submitted Charge Amount |
1342595 |
Total Medicare Allowed Amount |
141845.9 |
Total Medicare Payment Amount |
108699.15 |
Total Medicare Standardized Payment Amount |
106011.06 |
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 |
74 |
Number Of Medical Services |
2202 |
Number Of Medicare Beneficiaries With Medical Services |
1669 |
Total Medical Submitted Charge Amount |
1342595 |
Total Medical Medicare Allowed Amount |
141845.9 |
Total Medical Medicare Payment Amount |
108699.15 |
Total Medical Medicare Standardized Payment Amount |
106011.06 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
257 |
Number Of Beneficiaries Age 65 to 74 |
556 |
Number Of Beneficiaries Age 75 to 84 |
503 |
Number Of Beneficiaries Age Greater 84 |
353 |
Number Of Female Beneficiaries |
922 |
Number Of Male Beneficiaries |
747 |
Number Of Non Hispanic White Beneficiaries |
1122 |
Number Of Black or African American Beneficiaries |
212 |
Number Of AsianPacific Islander Beneficiaries |
114 |
Number Of Hispanic Beneficiaries |
160 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1011 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
658 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
2.2027 |