National Provider Identifier [NPI]: |
1063436939 |
Last Name Of The Provider |
AGUET |
First Name Of The Provider |
JAIME |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 S COURT ST STE F |
Street Address 2 Of The Provider |
|
City Of The Provider |
VISALIA |
Zip Code Of The Provider |
932774931 |
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 |
190 |
Number Of Services |
5718 |
Number Of Medicare Beneficiaries |
2867 |
Total Submitted Charge Amount |
471218.8 |
Total Medicare Allowed Amount |
160403.94 |
Total Medicare Payment Amount |
119321.23 |
Total Medicare Standardized Payment Amount |
117894.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
952 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
1187.8 |
Total Drug Medicare AllowedAmount |
389.6 |
Total Drug Medicare PaymentAmount |
285.31 |
Total Drug Medicare Standardized Payment Amount |
285.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
188 |
Number Of Medical Services |
4766 |
Number Of Medicare Beneficiaries With Medical Services |
2867 |
Total Medical Submitted Charge Amount |
470031 |
Total Medical Medicare Allowed Amount |
160014.34 |
Total Medical Medicare Payment Amount |
119035.92 |
Total Medical Medicare Standardized Payment Amount |
117609.27 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
591 |
Number Of Beneficiaries Age 65 to 74 |
1017 |
Number Of Beneficiaries Age 75 to 84 |
792 |
Number Of Beneficiaries Age Greater 84 |
467 |
Number Of Female Beneficiaries |
1545 |
Number Of Male Beneficiaries |
1322 |
Number Of Non Hispanic White Beneficiaries |
1753 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
86 |
Number Of Hispanic Beneficiaries |
931 |
Number Of American Indian Alaska Native Beneficiaries |
26 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1346 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9842 |