National Provider Identifier [NPI]: |
1144274614 |
Last Name Of The Provider |
TISCHLER |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 PALOMINO LN |
Street Address 2 Of The Provider |
STE # 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064894 |
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 |
179 |
Number Of Services |
5078 |
Number Of Medicare Beneficiaries |
1863 |
Total Submitted Charge Amount |
473005.24 |
Total Medicare Allowed Amount |
122646.19 |
Total Medicare Payment Amount |
91937.95 |
Total Medicare Standardized Payment Amount |
91151.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2430 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
6919.7 |
Total Drug Medicare AllowedAmount |
673.07 |
Total Drug Medicare PaymentAmount |
526.82 |
Total Drug Medicare Standardized Payment Amount |
526.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
2648 |
Number Of Medicare Beneficiaries With Medical Services |
1863 |
Total Medical Submitted Charge Amount |
466085.54 |
Total Medical Medicare Allowed Amount |
121973.12 |
Total Medical Medicare Payment Amount |
91411.13 |
Total Medical Medicare Standardized Payment Amount |
90625.06 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
410 |
Number Of Beneficiaries Age 65 to 74 |
695 |
Number Of Beneficiaries Age 75 to 84 |
545 |
Number Of Beneficiaries Age Greater 84 |
213 |
Number Of Female Beneficiaries |
1053 |
Number Of Male Beneficiaries |
810 |
Number Of Non Hispanic White Beneficiaries |
1249 |
Number Of Black or African American Beneficiaries |
258 |
Number Of AsianPacific Islander Beneficiaries |
111 |
Number Of Hispanic Beneficiaries |
202 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
543 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.1414 |