National Provider Identifier [NPI]: |
1013989490 |
Last Name Of The Provider |
DAVIS-REED |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
270 COHASSET RD |
Street Address 2 Of The Provider |
STE 110 |
City Of The Provider |
CHICO |
Zip Code Of The Provider |
95926 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
5086 |
Number Of Medicare Beneficiaries |
820 |
Total Submitted Charge Amount |
479147 |
Total Medicare Allowed Amount |
345833.34 |
Total Medicare Payment Amount |
260183.91 |
Total Medicare Standardized Payment Amount |
245447.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
8307 |
Total Drug Medicare AllowedAmount |
7093.26 |
Total Drug Medicare PaymentAmount |
5553.53 |
Total Drug Medicare Standardized Payment Amount |
5553.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
5020 |
Number Of Medicare Beneficiaries With Medical Services |
820 |
Total Medical Submitted Charge Amount |
470840 |
Total Medical Medicare Allowed Amount |
338740.08 |
Total Medical Medicare Payment Amount |
254630.38 |
Total Medical Medicare Standardized Payment Amount |
239893.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
427 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
788 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7776 |