National Provider Identifier [NPI]: |
1033385810 |
Last Name Of The Provider |
ROPER |
First Name Of The Provider |
GLADE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4860 Y ST |
Street Address 2 Of The Provider |
SUITE 3100 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958172307 |
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 |
206 |
Number Of Services |
15390 |
Number Of Medicare Beneficiaries |
3367 |
Total Submitted Charge Amount |
908696 |
Total Medicare Allowed Amount |
346047.41 |
Total Medicare Payment Amount |
253572.82 |
Total Medicare Standardized Payment Amount |
246110.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
10196 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
11843 |
Total Drug Medicare AllowedAmount |
3433.2 |
Total Drug Medicare PaymentAmount |
2657.54 |
Total Drug Medicare Standardized Payment Amount |
2657.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
204 |
Number Of Medical Services |
5194 |
Number Of Medicare Beneficiaries With Medical Services |
3366 |
Total Medical Submitted Charge Amount |
896853 |
Total Medical Medicare Allowed Amount |
342614.21 |
Total Medical Medicare Payment Amount |
250915.28 |
Total Medical Medicare Standardized Payment Amount |
243453.39 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
630 |
Number Of Beneficiaries Age 65 to 74 |
1243 |
Number Of Beneficiaries Age 75 to 84 |
988 |
Number Of Beneficiaries Age Greater 84 |
506 |
Number Of Female Beneficiaries |
1932 |
Number Of Male Beneficiaries |
1435 |
Number Of Non Hispanic White Beneficiaries |
2141 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
85 |
Number Of Hispanic Beneficiaries |
1033 |
Number Of American Indian Alaska Native Beneficiaries |
32 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1919 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1448 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7512 |