National Provider Identifier [NPI]: |
1003089624 |
Last Name Of The Provider |
CHRISTIAN |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1380 SOUTH MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST GEORGE |
Zip Code Of The Provider |
847902123 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
5166 |
Number Of Medicare Beneficiaries |
2872 |
Total Submitted Charge Amount |
749157.93 |
Total Medicare Allowed Amount |
198266.58 |
Total Medicare Payment Amount |
152529.95 |
Total Medicare Standardized Payment Amount |
157953.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
931 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
6557.8 |
Total Drug Medicare AllowedAmount |
290.21 |
Total Drug Medicare PaymentAmount |
227.52 |
Total Drug Medicare Standardized Payment Amount |
227.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
4235 |
Number Of Medicare Beneficiaries With Medical Services |
2871 |
Total Medical Submitted Charge Amount |
742600.13 |
Total Medical Medicare Allowed Amount |
197976.37 |
Total Medical Medicare Payment Amount |
152302.43 |
Total Medical Medicare Standardized Payment Amount |
157725.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
1329 |
Number Of Beneficiaries Age 75 to 84 |
921 |
Number Of Beneficiaries Age Greater 84 |
377 |
Number Of Female Beneficiaries |
1735 |
Number Of Male Beneficiaries |
1137 |
Number Of Non Hispanic White Beneficiaries |
2733 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2630 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
242 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2252 |