National Provider Identifier [NPI]: |
1780657981 |
Last Name Of The Provider |
MILSTEIN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
920 COUNTRY CLUB RD |
Street Address 2 Of The Provider |
SUITE 100A |
City Of The Provider |
EUGENE |
Zip Code Of The Provider |
974016024 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
157 |
Number Of Services |
10768.5 |
Number Of Medicare Beneficiaries |
1721 |
Total Submitted Charge Amount |
880002.5 |
Total Medicare Allowed Amount |
291581.03 |
Total Medicare Payment Amount |
237579.22 |
Total Medicare Standardized Payment Amount |
248361.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
7660.5 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
4537.5 |
Total Drug Medicare AllowedAmount |
2612.44 |
Total Drug Medicare PaymentAmount |
2031.06 |
Total Drug Medicare Standardized Payment Amount |
2031.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
3108 |
Number Of Medicare Beneficiaries With Medical Services |
1721 |
Total Medical Submitted Charge Amount |
875465 |
Total Medical Medicare Allowed Amount |
288968.59 |
Total Medical Medicare Payment Amount |
235548.16 |
Total Medical Medicare Standardized Payment Amount |
246330.34 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
219 |
Number Of Beneficiaries Age 65 to 74 |
961 |
Number Of Beneficiaries Age 75 to 84 |
379 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
1263 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
1630 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1509 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9017 |