National Provider Identifier [NPI]: |
1265595441 |
Last Name Of The Provider |
MORCOS |
First Name Of The Provider |
NADER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1605 AVOCADO AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEWPORT BEACH |
Zip Code Of The Provider |
926607725 |
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 |
90 |
Number Of Services |
1358 |
Number Of Medicare Beneficiaries |
623 |
Total Submitted Charge Amount |
314390 |
Total Medicare Allowed Amount |
106004.26 |
Total Medicare Payment Amount |
81279.83 |
Total Medicare Standardized Payment Amount |
72951.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
414 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
7945 |
Total Drug Medicare AllowedAmount |
409.69 |
Total Drug Medicare PaymentAmount |
321.39 |
Total Drug Medicare Standardized Payment Amount |
321.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
944 |
Number Of Medicare Beneficiaries With Medical Services |
623 |
Total Medical Submitted Charge Amount |
306445 |
Total Medical Medicare Allowed Amount |
105594.57 |
Total Medical Medicare Payment Amount |
80958.44 |
Total Medical Medicare Standardized Payment Amount |
72630.45 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
266 |
Number Of Beneficiaries Age 75 to 84 |
198 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
241 |
Number Of Non Hispanic White Beneficiaries |
512 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
532 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4278 |