National Provider Identifier [NPI]: |
1780638262 |
Last Name Of The Provider |
CHARMS |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23929 MCBEAN PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
VALENCIA |
Zip Code Of The Provider |
913554466 |
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 |
176 |
Number Of Services |
13132 |
Number Of Medicare Beneficiaries |
4870 |
Total Submitted Charge Amount |
1512187.87 |
Total Medicare Allowed Amount |
310300.42 |
Total Medicare Payment Amount |
217764.87 |
Total Medicare Standardized Payment Amount |
205233.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2335 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
3772 |
Total Drug Medicare AllowedAmount |
626.94 |
Total Drug Medicare PaymentAmount |
491.57 |
Total Drug Medicare Standardized Payment Amount |
491.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
174 |
Number Of Medical Services |
10797 |
Number Of Medicare Beneficiaries With Medical Services |
4870 |
Total Medical Submitted Charge Amount |
1508415.87 |
Total Medical Medicare Allowed Amount |
309673.48 |
Total Medical Medicare Payment Amount |
217273.3 |
Total Medical Medicare Standardized Payment Amount |
204741.65 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
961 |
Number Of Beneficiaries Age 65 to 74 |
1391 |
Number Of Beneficiaries Age 75 to 84 |
1433 |
Number Of Beneficiaries Age Greater 84 |
1085 |
Number Of Female Beneficiaries |
2825 |
Number Of Male Beneficiaries |
2045 |
Number Of Non Hispanic White Beneficiaries |
2459 |
Number Of Black or African American Beneficiaries |
471 |
Number Of AsianPacific Islander Beneficiaries |
508 |
Number Of Hispanic Beneficiaries |
1293 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
3696 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.6951 |