National Provider Identifier [NPI]: |
1417946534 |
Last Name Of The Provider |
HEDLEY |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MEDICAL DOCTOR |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 W CALIFORNIA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
911053010 |
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 |
238 |
Number Of Services |
12916 |
Number Of Medicare Beneficiaries |
3373 |
Total Submitted Charge Amount |
1237210.67 |
Total Medicare Allowed Amount |
285142.06 |
Total Medicare Payment Amount |
217806.45 |
Total Medicare Standardized Payment Amount |
204425.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
5612 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
8008 |
Total Drug Medicare AllowedAmount |
1077.46 |
Total Drug Medicare PaymentAmount |
844.61 |
Total Drug Medicare Standardized Payment Amount |
844.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
236 |
Number Of Medical Services |
7304 |
Number Of Medicare Beneficiaries With Medical Services |
3373 |
Total Medical Submitted Charge Amount |
1229202.67 |
Total Medical Medicare Allowed Amount |
284064.6 |
Total Medical Medicare Payment Amount |
216961.84 |
Total Medical Medicare Standardized Payment Amount |
203580.92 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
462 |
Number Of Beneficiaries Age 65 to 74 |
1007 |
Number Of Beneficiaries Age 75 to 84 |
1052 |
Number Of Beneficiaries Age Greater 84 |
852 |
Number Of Female Beneficiaries |
1985 |
Number Of Male Beneficiaries |
1388 |
Number Of Non Hispanic White Beneficiaries |
1956 |
Number Of Black or African American Beneficiaries |
381 |
Number Of AsianPacific Islander Beneficiaries |
348 |
Number Of Hispanic Beneficiaries |
616 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2017 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1356 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.4123 |