National Provider Identifier [NPI]: |
1487647905 |
Last Name Of The Provider |
HILLS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
842 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
975047134 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
167 |
Number Of Services |
5911 |
Number Of Medicare Beneficiaries |
3454 |
Total Submitted Charge Amount |
531392.87 |
Total Medicare Allowed Amount |
158199.29 |
Total Medicare Payment Amount |
123899.01 |
Total Medicare Standardized Payment Amount |
128047.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
950 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
1716 |
Total Drug Medicare AllowedAmount |
388.71 |
Total Drug Medicare PaymentAmount |
304.74 |
Total Drug Medicare Standardized Payment Amount |
304.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
166 |
Number Of Medical Services |
4961 |
Number Of Medicare Beneficiaries With Medical Services |
3453 |
Total Medical Submitted Charge Amount |
529676.87 |
Total Medical Medicare Allowed Amount |
157810.58 |
Total Medical Medicare Payment Amount |
123594.27 |
Total Medical Medicare Standardized Payment Amount |
127742.27 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
511 |
Number Of Beneficiaries Age 65 to 74 |
1523 |
Number Of Beneficiaries Age 75 to 84 |
936 |
Number Of Beneficiaries Age Greater 84 |
484 |
Number Of Female Beneficiaries |
2129 |
Number Of Male Beneficiaries |
1325 |
Number Of Non Hispanic White Beneficiaries |
3269 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
34 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2739 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
715 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3052 |