National Provider Identifier [NPI]: |
1093718637 |
Last Name Of The Provider |
BADOUR |
First Name Of The Provider |
COURTNEY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6585 CLARK RD |
Street Address 2 Of The Provider |
STE 240 |
City Of The Provider |
PARADISE |
Zip Code Of The Provider |
959693500 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3848 |
Number Of Medicare Beneficiaries |
757 |
Total Submitted Charge Amount |
328054 |
Total Medicare Allowed Amount |
268436.36 |
Total Medicare Payment Amount |
190211.28 |
Total Medicare Standardized Payment Amount |
183701.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
335 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
7606 |
Total Drug Medicare AllowedAmount |
5452.15 |
Total Drug Medicare PaymentAmount |
5289.92 |
Total Drug Medicare Standardized Payment Amount |
5289.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
3513 |
Number Of Medicare Beneficiaries With Medical Services |
757 |
Total Medical Submitted Charge Amount |
320448 |
Total Medical Medicare Allowed Amount |
262984.21 |
Total Medical Medicare Payment Amount |
184921.36 |
Total Medical Medicare Standardized Payment Amount |
178411.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
406 |
Number Of Male Beneficiaries |
351 |
Number Of Non Hispanic White Beneficiaries |
723 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
741 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
2 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.038 |