National Provider Identifier [NPI]: |
1447463658 |
Last Name Of The Provider |
AUSTIN |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 W AVENUE J |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
935342814 |
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 |
98 |
Number Of Services |
2624 |
Number Of Medicare Beneficiaries |
1208 |
Total Submitted Charge Amount |
188702 |
Total Medicare Allowed Amount |
46681.14 |
Total Medicare Payment Amount |
33143.05 |
Total Medicare Standardized Payment Amount |
32489.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1015 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
1045 |
Total Drug Medicare AllowedAmount |
200.65 |
Total Drug Medicare PaymentAmount |
157.29 |
Total Drug Medicare Standardized Payment Amount |
157.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
1609 |
Number Of Medicare Beneficiaries With Medical Services |
1208 |
Total Medical Submitted Charge Amount |
187657 |
Total Medical Medicare Allowed Amount |
46480.49 |
Total Medical Medicare Payment Amount |
32985.76 |
Total Medical Medicare Standardized Payment Amount |
32332.05 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
308 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
211 |
Number Of Female Beneficiaries |
699 |
Number Of Male Beneficiaries |
509 |
Number Of Non Hispanic White Beneficiaries |
944 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
55 |
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
799 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
409 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9626 |