National Provider Identifier [NPI]: |
1447223169 |
Last Name Of The Provider |
ASH |
First Name Of The Provider |
LORRAINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9602 STOCKDALE HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933113618 |
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 |
234 |
Number Of Services |
11851 |
Number Of Medicare Beneficiaries |
7137 |
Total Submitted Charge Amount |
1114357.17 |
Total Medicare Allowed Amount |
426824.28 |
Total Medicare Payment Amount |
326226.56 |
Total Medicare Standardized Payment Amount |
326254.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
234 |
Number Of Medical Services |
11851 |
Number Of Medicare Beneficiaries With Medical Services |
7137 |
Total Medical Submitted Charge Amount |
1114357.17 |
Total Medical Medicare Allowed Amount |
426824.28 |
Total Medical Medicare Payment Amount |
326226.56 |
Total Medical Medicare Standardized Payment Amount |
326254.06 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1458 |
Number Of Beneficiaries Age 65 to 74 |
2647 |
Number Of Beneficiaries Age 75 to 84 |
1984 |
Number Of Beneficiaries Age Greater 84 |
1048 |
Number Of Female Beneficiaries |
4352 |
Number Of Male Beneficiaries |
2785 |
Number Of Non Hispanic White Beneficiaries |
4982 |
Number Of Black or African American Beneficiaries |
479 |
Number Of AsianPacific Islander Beneficiaries |
161 |
Number Of Hispanic Beneficiaries |
1406 |
Number Of American Indian Alaska Native Beneficiaries |
43 |
Number Of Beneficiaries With Race Not Else where Classified |
66 |
Number Of Beneficiaries With Medicare Only Entitlement |
4351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2786 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7207 |