National Provider Identifier [NPI]: |
1336324383 |
Last Name Of The Provider |
ORSI |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8401 DATAPOINT DR STE 600 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782295907 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
94233 |
Number Of Medicare Beneficiaries |
4287 |
Total Submitted Charge Amount |
5151684.8 |
Total Medicare Allowed Amount |
1328628.7 |
Total Medicare Payment Amount |
1031282.44 |
Total Medicare Standardized Payment Amount |
1114948.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
87567 |
Number Of Medicare Beneficiaries With Drug Services |
1024 |
Total Drug Submitted ChargeAmount |
70197 |
Total Drug Medicare AllowedAmount |
30212.2 |
Total Drug Medicare PaymentAmount |
23144.34 |
Total Drug Medicare Standardized Payment Amount |
23144.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
183 |
Number Of Medical Services |
6666 |
Number Of Medicare Beneficiaries With Medical Services |
4286 |
Total Medical Submitted Charge Amount |
5081487.8 |
Total Medical Medicare Allowed Amount |
1298416.5 |
Total Medical Medicare Payment Amount |
1008138.1 |
Total Medical Medicare Standardized Payment Amount |
1091804.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
622 |
Number Of Beneficiaries Age 65 to 74 |
1816 |
Number Of Beneficiaries Age 75 to 84 |
1276 |
Number Of Beneficiaries Age Greater 84 |
573 |
Number Of Female Beneficiaries |
2476 |
Number Of Male Beneficiaries |
1811 |
Number Of Non Hispanic White Beneficiaries |
2803 |
Number Of Black or African American Beneficiaries |
185 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
1212 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3531 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
756 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8378 |