National Provider Identifier [NPI]: |
1801843149 |
Last Name Of The Provider |
HINKLE |
First Name Of The Provider |
MARCIA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1702 ESPLANADE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICO |
Zip Code Of The Provider |
959263315 |
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 |
100 |
Number Of Services |
4881 |
Number Of Medicare Beneficiaries |
2512 |
Total Submitted Charge Amount |
849745 |
Total Medicare Allowed Amount |
314925.03 |
Total Medicare Payment Amount |
285152.28 |
Total Medicare Standardized Payment Amount |
269084.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
345 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
3222 |
Total Drug Medicare AllowedAmount |
674.86 |
Total Drug Medicare PaymentAmount |
529.13 |
Total Drug Medicare Standardized Payment Amount |
529.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
4536 |
Number Of Medicare Beneficiaries With Medical Services |
2512 |
Total Medical Submitted Charge Amount |
846523 |
Total Medical Medicare Allowed Amount |
314250.17 |
Total Medical Medicare Payment Amount |
284623.15 |
Total Medical Medicare Standardized Payment Amount |
268554.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
323 |
Number Of Beneficiaries Age 65 to 74 |
1317 |
Number Of Beneficiaries Age 75 to 84 |
645 |
Number Of Beneficiaries Age Greater 84 |
227 |
Number Of Female Beneficiaries |
2213 |
Number Of Male Beneficiaries |
299 |
Number Of Non Hispanic White Beneficiaries |
2250 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
168 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2077 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
435 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9278 |