National Provider Identifier [NPI]: |
1619962115 |
Last Name Of The Provider |
CHERNE |
First Name Of The Provider |
MELVIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4445 MAGNOLIA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
RIVERSIDE |
Zip Code Of The Provider |
925014135 |
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 |
264 |
Number Of Services |
10998 |
Number Of Medicare Beneficiaries |
3137 |
Total Submitted Charge Amount |
1320392.63 |
Total Medicare Allowed Amount |
345468.43 |
Total Medicare Payment Amount |
256629.78 |
Total Medicare Standardized Payment Amount |
249735.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4533 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
4020.75 |
Total Drug Medicare AllowedAmount |
1698.03 |
Total Drug Medicare PaymentAmount |
1319.26 |
Total Drug Medicare Standardized Payment Amount |
1319.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
262 |
Number Of Medical Services |
6465 |
Number Of Medicare Beneficiaries With Medical Services |
3137 |
Total Medical Submitted Charge Amount |
1316371.88 |
Total Medical Medicare Allowed Amount |
343770.4 |
Total Medical Medicare Payment Amount |
255310.52 |
Total Medical Medicare Standardized Payment Amount |
248416.49 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
682 |
Number Of Beneficiaries Age 65 to 74 |
1127 |
Number Of Beneficiaries Age 75 to 84 |
904 |
Number Of Beneficiaries Age Greater 84 |
424 |
Number Of Female Beneficiaries |
1753 |
Number Of Male Beneficiaries |
1384 |
Number Of Non Hispanic White Beneficiaries |
1726 |
Number Of Black or African American Beneficiaries |
444 |
Number Of AsianPacific Islander Beneficiaries |
120 |
Number Of Hispanic Beneficiaries |
773 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
57 |
Number Of Beneficiaries With Medicare Only Entitlement |
1687 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1450 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.2589 |