National Provider Identifier [NPI]: |
1417186081 |
Last Name Of The Provider |
MEYER |
First Name Of The Provider |
MONIQUE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1867 E FIR AVE |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203808 |
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 |
140 |
Number Of Services |
9717 |
Number Of Medicare Beneficiaries |
1845 |
Total Submitted Charge Amount |
1067920.6 |
Total Medicare Allowed Amount |
212249.95 |
Total Medicare Payment Amount |
162864.53 |
Total Medicare Standardized Payment Amount |
161538.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
7123 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
7465 |
Total Drug Medicare AllowedAmount |
2578.62 |
Total Drug Medicare PaymentAmount |
1980.44 |
Total Drug Medicare Standardized Payment Amount |
1980.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
2594 |
Number Of Medicare Beneficiaries With Medical Services |
1845 |
Total Medical Submitted Charge Amount |
1060455.6 |
Total Medical Medicare Allowed Amount |
209671.33 |
Total Medical Medicare Payment Amount |
160884.09 |
Total Medical Medicare Standardized Payment Amount |
159558.1 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
440 |
Number Of Beneficiaries Age 65 to 74 |
606 |
Number Of Beneficiaries Age 75 to 84 |
514 |
Number Of Beneficiaries Age Greater 84 |
285 |
Number Of Female Beneficiaries |
1055 |
Number Of Male Beneficiaries |
790 |
Number Of Non Hispanic White Beneficiaries |
1177 |
Number Of Black or African American Beneficiaries |
161 |
Number Of AsianPacific Islander Beneficiaries |
104 |
Number Of Hispanic Beneficiaries |
367 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1034 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
811 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.8265 |