National Provider Identifier [NPI]: |
1841252913 |
Last Name Of The Provider |
TROYCHAK |
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 |
842 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
975047134 |
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 |
183 |
Number Of Services |
8719 |
Number Of Medicare Beneficiaries |
2567 |
Total Submitted Charge Amount |
1052779.87 |
Total Medicare Allowed Amount |
274087.94 |
Total Medicare Payment Amount |
214954.2 |
Total Medicare Standardized Payment Amount |
218470.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
4919 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
19380.61 |
Total Drug Medicare AllowedAmount |
1949.5 |
Total Drug Medicare PaymentAmount |
1520.49 |
Total Drug Medicare Standardized Payment Amount |
1520.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
178 |
Number Of Medical Services |
3800 |
Number Of Medicare Beneficiaries With Medical Services |
2567 |
Total Medical Submitted Charge Amount |
1033399.26 |
Total Medical Medicare Allowed Amount |
272138.44 |
Total Medical Medicare Payment Amount |
213433.71 |
Total Medical Medicare Standardized Payment Amount |
216949.7 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
399 |
Number Of Beneficiaries Age 65 to 74 |
1166 |
Number Of Beneficiaries Age 75 to 84 |
700 |
Number Of Beneficiaries Age Greater 84 |
302 |
Number Of Female Beneficiaries |
1673 |
Number Of Male Beneficiaries |
894 |
Number Of Non Hispanic White Beneficiaries |
2422 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
22 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
2052 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
515 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2578 |