National Provider Identifier [NPI]: |
1225047889 |
Last Name Of The Provider |
DARLINGTON |
First Name Of The Provider |
KRISTINA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
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 |
158 |
Number Of Services |
6425 |
Number Of Medicare Beneficiaries |
3576 |
Total Submitted Charge Amount |
484007.95 |
Total Medicare Allowed Amount |
151172.85 |
Total Medicare Payment Amount |
120978.82 |
Total Medicare Standardized Payment Amount |
125665.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
861 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
2547.08 |
Total Drug Medicare AllowedAmount |
758.21 |
Total Drug Medicare PaymentAmount |
594.43 |
Total Drug Medicare Standardized Payment Amount |
594.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
5564 |
Number Of Medicare Beneficiaries With Medical Services |
3575 |
Total Medical Submitted Charge Amount |
481460.87 |
Total Medical Medicare Allowed Amount |
150414.64 |
Total Medical Medicare Payment Amount |
120384.39 |
Total Medical Medicare Standardized Payment Amount |
125070.58 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
530 |
Number Of Beneficiaries Age 65 to 74 |
1668 |
Number Of Beneficiaries Age 75 to 84 |
956 |
Number Of Beneficiaries Age Greater 84 |
422 |
Number Of Female Beneficiaries |
2447 |
Number Of Male Beneficiaries |
1129 |
Number Of Non Hispanic White Beneficiaries |
3358 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
38 |
Number Of Beneficiaries With Race Not Else where Classified |
58 |
Number Of Beneficiaries With Medicare Only Entitlement |
2846 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
730 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2202 |