National Provider Identifier [NPI]: |
1548365273 |
Last Name Of The Provider |
RICHEY |
First Name Of The Provider |
DUANE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3365 G STREET |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MERCED |
Zip Code Of The Provider |
953400996 |
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 |
176 |
Number Of Services |
33126 |
Number Of Medicare Beneficiaries |
4338 |
Total Submitted Charge Amount |
3028645 |
Total Medicare Allowed Amount |
1034536.33 |
Total Medicare Payment Amount |
805310.07 |
Total Medicare Standardized Payment Amount |
767404.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
25038 |
Number Of Medicare Beneficiaries With Drug Services |
464 |
Total Drug Submitted ChargeAmount |
137550 |
Total Drug Medicare AllowedAmount |
11064.61 |
Total Drug Medicare PaymentAmount |
8610.85 |
Total Drug Medicare Standardized Payment Amount |
8610.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
174 |
Number Of Medical Services |
8088 |
Number Of Medicare Beneficiaries With Medical Services |
4338 |
Total Medical Submitted Charge Amount |
2891095 |
Total Medical Medicare Allowed Amount |
1023471.72 |
Total Medical Medicare Payment Amount |
796699.22 |
Total Medical Medicare Standardized Payment Amount |
758793.66 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
698 |
Number Of Beneficiaries Age 65 to 74 |
1932 |
Number Of Beneficiaries Age 75 to 84 |
1277 |
Number Of Beneficiaries Age Greater 84 |
431 |
Number Of Female Beneficiaries |
3098 |
Number Of Male Beneficiaries |
1240 |
Number Of Non Hispanic White Beneficiaries |
2641 |
Number Of Black or African American Beneficiaries |
214 |
Number Of AsianPacific Islander Beneficiaries |
130 |
Number Of Hispanic Beneficiaries |
1285 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
51 |
Number Of Beneficiaries With Medicare Only Entitlement |
2931 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1407 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2428 |