National Provider Identifier [NPI]: |
1689637001 |
Last Name Of The Provider |
LAUTEN |
First Name Of The Provider |
GREGORY |
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 |
1702 ESPLANADE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICO |
Zip Code Of The Provider |
959263315 |
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 |
312 |
Number Of Services |
8037 |
Number Of Medicare Beneficiaries |
3090 |
Total Submitted Charge Amount |
1085320 |
Total Medicare Allowed Amount |
387006.83 |
Total Medicare Payment Amount |
298618.55 |
Total Medicare Standardized Payment Amount |
284374.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
2876 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
14090 |
Total Drug Medicare AllowedAmount |
2463.15 |
Total Drug Medicare PaymentAmount |
1929.91 |
Total Drug Medicare Standardized Payment Amount |
1929.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
300 |
Number Of Medical Services |
5161 |
Number Of Medicare Beneficiaries With Medical Services |
3087 |
Total Medical Submitted Charge Amount |
1071230 |
Total Medical Medicare Allowed Amount |
384543.68 |
Total Medical Medicare Payment Amount |
296688.64 |
Total Medical Medicare Standardized Payment Amount |
282444.13 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
618 |
Number Of Beneficiaries Age 65 to 74 |
1029 |
Number Of Beneficiaries Age 75 to 84 |
899 |
Number Of Beneficiaries Age Greater 84 |
544 |
Number Of Female Beneficiaries |
1745 |
Number Of Male Beneficiaries |
1345 |
Number Of Non Hispanic White Beneficiaries |
2771 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
181 |
Number Of American Indian Alaska Native Beneficiaries |
38 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
2070 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1020 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7026 |