National Provider Identifier [NPI]: |
1437131810 |
Last Name Of The Provider |
STEIN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4101 TORRANCE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TORRANCE |
Zip Code Of The Provider |
90503 |
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 |
144 |
Number Of Services |
6335 |
Number Of Medicare Beneficiaries |
2796 |
Total Submitted Charge Amount |
826561.69 |
Total Medicare Allowed Amount |
177523.85 |
Total Medicare Payment Amount |
140472.98 |
Total Medicare Standardized Payment Amount |
131931.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1020 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
445.69 |
Total Drug Medicare AllowedAmount |
258.39 |
Total Drug Medicare PaymentAmount |
202.55 |
Total Drug Medicare Standardized Payment Amount |
202.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
142 |
Number Of Medical Services |
5315 |
Number Of Medicare Beneficiaries With Medical Services |
2795 |
Total Medical Submitted Charge Amount |
826116 |
Total Medical Medicare Allowed Amount |
177265.46 |
Total Medical Medicare Payment Amount |
140270.43 |
Total Medical Medicare Standardized Payment Amount |
131729.42 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
283 |
Number Of Beneficiaries Age 65 to 74 |
1075 |
Number Of Beneficiaries Age 75 to 84 |
919 |
Number Of Beneficiaries Age Greater 84 |
519 |
Number Of Female Beneficiaries |
2178 |
Number Of Male Beneficiaries |
618 |
Number Of Non Hispanic White Beneficiaries |
1495 |
Number Of Black or African American Beneficiaries |
312 |
Number Of AsianPacific Islander Beneficiaries |
491 |
Number Of Hispanic Beneficiaries |
400 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1960 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
836 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5867 |