National Provider Identifier [NPI]: |
1003851130 |
Last Name Of The Provider |
WHITE |
First Name Of The Provider |
FREDERICK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
890 W STETSON AVE STE B |
Street Address 2 Of The Provider |
APEX RADIOLOGY MEDICAL GROUP INC. |
City Of The Provider |
HEMET |
Zip Code Of The Provider |
925437311 |
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 |
143 |
Number Of Services |
12725 |
Number Of Medicare Beneficiaries |
1944 |
Total Submitted Charge Amount |
627626 |
Total Medicare Allowed Amount |
247062.3 |
Total Medicare Payment Amount |
195213.56 |
Total Medicare Standardized Payment Amount |
185553.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
9383 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
9569 |
Total Drug Medicare AllowedAmount |
1789.53 |
Total Drug Medicare PaymentAmount |
1372.05 |
Total Drug Medicare Standardized Payment Amount |
1372.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
141 |
Number Of Medical Services |
3342 |
Number Of Medicare Beneficiaries With Medical Services |
1944 |
Total Medical Submitted Charge Amount |
618057 |
Total Medical Medicare Allowed Amount |
245272.77 |
Total Medical Medicare Payment Amount |
193841.51 |
Total Medical Medicare Standardized Payment Amount |
184181.87 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
316 |
Number Of Beneficiaries Age 65 to 74 |
660 |
Number Of Beneficiaries Age 75 to 84 |
651 |
Number Of Beneficiaries Age Greater 84 |
317 |
Number Of Female Beneficiaries |
1259 |
Number Of Male Beneficiaries |
685 |
Number Of Non Hispanic White Beneficiaries |
1394 |
Number Of Black or African American Beneficiaries |
152 |
Number Of AsianPacific Islander Beneficiaries |
53 |
Number Of Hispanic Beneficiaries |
303 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
745 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8282 |