National Provider Identifier [NPI]: |
1407853252 |
Last Name Of The Provider |
WINFIELD |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3161 L ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165234 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
13430 |
Number Of Medicare Beneficiaries |
1836 |
Total Submitted Charge Amount |
1590355.99 |
Total Medicare Allowed Amount |
271524.48 |
Total Medicare Payment Amount |
206958.88 |
Total Medicare Standardized Payment Amount |
197174.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
11033 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
30966 |
Total Drug Medicare AllowedAmount |
4824.72 |
Total Drug Medicare PaymentAmount |
3782.5 |
Total Drug Medicare Standardized Payment Amount |
3782.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
152 |
Number Of Medical Services |
2397 |
Number Of Medicare Beneficiaries With Medical Services |
1836 |
Total Medical Submitted Charge Amount |
1559389.99 |
Total Medical Medicare Allowed Amount |
266699.76 |
Total Medical Medicare Payment Amount |
203176.38 |
Total Medical Medicare Standardized Payment Amount |
193391.7 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
320 |
Number Of Beneficiaries Age 65 to 74 |
746 |
Number Of Beneficiaries Age 75 to 84 |
511 |
Number Of Beneficiaries Age Greater 84 |
259 |
Number Of Female Beneficiaries |
1127 |
Number Of Male Beneficiaries |
709 |
Number Of Non Hispanic White Beneficiaries |
1291 |
Number Of Black or African American Beneficiaries |
112 |
Number Of AsianPacific Islander Beneficiaries |
204 |
Number Of Hispanic Beneficiaries |
173 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
1288 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
548 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.3167 |