National Provider Identifier [NPI]: |
1699725507 |
Last Name Of The Provider |
SUMSION |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 PARK MARINA DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960012822 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
23259 |
Number Of Medicare Beneficiaries |
3166 |
Total Submitted Charge Amount |
5278999 |
Total Medicare Allowed Amount |
2544375.15 |
Total Medicare Payment Amount |
1894088.74 |
Total Medicare Standardized Payment Amount |
1828925 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
4704 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
763455 |
Total Drug Medicare AllowedAmount |
466576.77 |
Total Drug Medicare PaymentAmount |
365344.71 |
Total Drug Medicare Standardized Payment Amount |
365344.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
18555 |
Number Of Medicare Beneficiaries With Medical Services |
3166 |
Total Medical Submitted Charge Amount |
4515544 |
Total Medical Medicare Allowed Amount |
2077798.38 |
Total Medical Medicare Payment Amount |
1528744.03 |
Total Medical Medicare Standardized Payment Amount |
1463580.29 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
1117 |
Number Of Beneficiaries Age 75 to 84 |
1298 |
Number Of Beneficiaries Age Greater 84 |
635 |
Number Of Female Beneficiaries |
1910 |
Number Of Male Beneficiaries |
1256 |
Number Of Non Hispanic White Beneficiaries |
2997 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
85 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2928 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
238 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0204 |