National Provider Identifier [NPI]: |
1295763514 |
Last Name Of The Provider |
MOOREFIELD |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6305 COYLE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARMICHAEL |
Zip Code Of The Provider |
956080438 |
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 |
134 |
Number Of Services |
6284 |
Number Of Medicare Beneficiaries |
3071 |
Total Submitted Charge Amount |
594092.8 |
Total Medicare Allowed Amount |
135897.85 |
Total Medicare Payment Amount |
103906.66 |
Total Medicare Standardized Payment Amount |
104357.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1007 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
963.2 |
Total Drug Medicare AllowedAmount |
203.8 |
Total Drug Medicare PaymentAmount |
159.76 |
Total Drug Medicare Standardized Payment Amount |
159.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
132 |
Number Of Medical Services |
5277 |
Number Of Medicare Beneficiaries With Medical Services |
3071 |
Total Medical Submitted Charge Amount |
593129.6 |
Total Medical Medicare Allowed Amount |
135694.05 |
Total Medical Medicare Payment Amount |
103746.9 |
Total Medical Medicare Standardized Payment Amount |
104197.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
540 |
Number Of Beneficiaries Age 65 to 74 |
965 |
Number Of Beneficiaries Age 75 to 84 |
871 |
Number Of Beneficiaries Age Greater 84 |
695 |
Number Of Female Beneficiaries |
1825 |
Number Of Male Beneficiaries |
1246 |
Number Of Non Hispanic White Beneficiaries |
2321 |
Number Of Black or African American Beneficiaries |
212 |
Number Of AsianPacific Islander Beneficiaries |
235 |
Number Of Hispanic Beneficiaries |
236 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
2023 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1048 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.808 |