National Provider Identifier [NPI]: |
1811949860 |
Last Name Of The Provider |
KUPFER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7300 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST HILLS |
Zip Code Of The Provider |
913071902 |
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 |
225 |
Number Of Services |
13871 |
Number Of Medicare Beneficiaries |
2948 |
Total Submitted Charge Amount |
2528367.44 |
Total Medicare Allowed Amount |
520226.22 |
Total Medicare Payment Amount |
395970.76 |
Total Medicare Standardized Payment Amount |
375591.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
7753 |
Number Of Medicare Beneficiaries With Drug Services |
153 |
Total Drug Submitted ChargeAmount |
9575.87 |
Total Drug Medicare AllowedAmount |
2985.94 |
Total Drug Medicare PaymentAmount |
2340.39 |
Total Drug Medicare Standardized Payment Amount |
2340.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
222 |
Number Of Medical Services |
6118 |
Number Of Medicare Beneficiaries With Medical Services |
2948 |
Total Medical Submitted Charge Amount |
2518791.57 |
Total Medical Medicare Allowed Amount |
517240.28 |
Total Medical Medicare Payment Amount |
393630.37 |
Total Medical Medicare Standardized Payment Amount |
373250.95 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
301 |
Number Of Beneficiaries Age 65 to 74 |
995 |
Number Of Beneficiaries Age 75 to 84 |
967 |
Number Of Beneficiaries Age Greater 84 |
685 |
Number Of Female Beneficiaries |
1772 |
Number Of Male Beneficiaries |
1176 |
Number Of Non Hispanic White Beneficiaries |
2313 |
Number Of Black or African American Beneficiaries |
105 |
Number Of AsianPacific Islander Beneficiaries |
175 |
Number Of Hispanic Beneficiaries |
274 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2060 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
888 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8578 |