National Provider Identifier [NPI]: |
1124002225 |
Last Name Of The Provider |
MORROW |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 K ST |
Street Address 2 Of The Provider |
SUITE 502 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165120 |
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 |
122 |
Number Of Services |
10247 |
Number Of Medicare Beneficiaries |
1458 |
Total Submitted Charge Amount |
478692 |
Total Medicare Allowed Amount |
110360.27 |
Total Medicare Payment Amount |
76509.96 |
Total Medicare Standardized Payment Amount |
73440.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
8435 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
9085 |
Total Drug Medicare AllowedAmount |
1706.65 |
Total Drug Medicare PaymentAmount |
1323.29 |
Total Drug Medicare Standardized Payment Amount |
1323.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
1812 |
Number Of Medicare Beneficiaries With Medical Services |
1458 |
Total Medical Submitted Charge Amount |
469607 |
Total Medical Medicare Allowed Amount |
108653.62 |
Total Medical Medicare Payment Amount |
75186.67 |
Total Medical Medicare Standardized Payment Amount |
72117.36 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
221 |
Number Of Beneficiaries Age 65 to 74 |
523 |
Number Of Beneficiaries Age 75 to 84 |
445 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
835 |
Number Of Male Beneficiaries |
623 |
Number Of Non Hispanic White Beneficiaries |
1143 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
87 |
Number Of Hispanic Beneficiaries |
109 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1099 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
359 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8617 |