National Provider Identifier [NPI]: |
1891795274 |
Last Name Of The Provider |
HAAS |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9070 W POST RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891482419 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
195 |
Number Of Services |
9295 |
Number Of Medicare Beneficiaries |
2399 |
Total Submitted Charge Amount |
1073369.18 |
Total Medicare Allowed Amount |
429327.62 |
Total Medicare Payment Amount |
318658.74 |
Total Medicare Standardized Payment Amount |
324518.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5727 |
Number Of Medicare Beneficiaries With Drug Services |
170 |
Total Drug Submitted ChargeAmount |
4185.54 |
Total Drug Medicare AllowedAmount |
2887.9 |
Total Drug Medicare PaymentAmount |
2126.14 |
Total Drug Medicare Standardized Payment Amount |
2126.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
190 |
Number Of Medical Services |
3568 |
Number Of Medicare Beneficiaries With Medical Services |
2399 |
Total Medical Submitted Charge Amount |
1069183.64 |
Total Medical Medicare Allowed Amount |
426439.72 |
Total Medical Medicare Payment Amount |
316532.6 |
Total Medical Medicare Standardized Payment Amount |
322392.39 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
306 |
Number Of Beneficiaries Age 65 to 74 |
1257 |
Number Of Beneficiaries Age 75 to 84 |
647 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
1574 |
Number Of Male Beneficiaries |
825 |
Number Of Non Hispanic White Beneficiaries |
1699 |
Number Of Black or African American Beneficiaries |
262 |
Number Of AsianPacific Islander Beneficiaries |
160 |
Number Of Hispanic Beneficiaries |
214 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2080 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
319 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2708 |