National Provider Identifier [NPI]: |
1699805093 |
Last Name Of The Provider |
HOPE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 UPPER TER |
Street Address 2 Of The Provider |
APARTMENT #2 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941174535 |
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 |
46 |
Number Of Services |
2803 |
Number Of Medicare Beneficiaries |
1657 |
Total Submitted Charge Amount |
1090427 |
Total Medicare Allowed Amount |
77732.91 |
Total Medicare Payment Amount |
56603.53 |
Total Medicare Standardized Payment Amount |
51349.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2803 |
Number Of Medicare Beneficiaries With Medical Services |
1657 |
Total Medical Submitted Charge Amount |
1090427 |
Total Medical Medicare Allowed Amount |
77732.91 |
Total Medical Medicare Payment Amount |
56603.53 |
Total Medical Medicare Standardized Payment Amount |
51349.43 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
390 |
Number Of Beneficiaries Age 65 to 74 |
687 |
Number Of Beneficiaries Age 75 to 84 |
395 |
Number Of Beneficiaries Age Greater 84 |
185 |
Number Of Female Beneficiaries |
735 |
Number Of Male Beneficiaries |
922 |
Number Of Non Hispanic White Beneficiaries |
1029 |
Number Of Black or African American Beneficiaries |
129 |
Number Of AsianPacific Islander Beneficiaries |
260 |
Number Of Hispanic Beneficiaries |
192 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
928 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
729 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.5198 |