National Provider Identifier [NPI]: |
1437173325 |
Last Name Of The Provider |
HIGHTOWER |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 S COURT ST STE F |
Street Address 2 Of The Provider |
|
City Of The Provider |
VISALIA |
Zip Code Of The Provider |
932774931 |
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 |
242 |
Number Of Services |
12540 |
Number Of Medicare Beneficiaries |
3265 |
Total Submitted Charge Amount |
827495.4 |
Total Medicare Allowed Amount |
310106.47 |
Total Medicare Payment Amount |
235127.79 |
Total Medicare Standardized Payment Amount |
228752.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
7184 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
8161.4 |
Total Drug Medicare AllowedAmount |
2226.7 |
Total Drug Medicare PaymentAmount |
1745.65 |
Total Drug Medicare Standardized Payment Amount |
1745.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
240 |
Number Of Medical Services |
5356 |
Number Of Medicare Beneficiaries With Medical Services |
3265 |
Total Medical Submitted Charge Amount |
819334 |
Total Medical Medicare Allowed Amount |
307879.77 |
Total Medical Medicare Payment Amount |
233382.14 |
Total Medical Medicare Standardized Payment Amount |
227006.74 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
631 |
Number Of Beneficiaries Age 65 to 74 |
1191 |
Number Of Beneficiaries Age 75 to 84 |
935 |
Number Of Beneficiaries Age Greater 84 |
508 |
Number Of Female Beneficiaries |
1839 |
Number Of Male Beneficiaries |
1426 |
Number Of Non Hispanic White Beneficiaries |
2066 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
87 |
Number Of Hispanic Beneficiaries |
1017 |
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1789 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1476 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9273 |