National Provider Identifier [NPI]: |
1407893191 |
Last Name Of The Provider |
JOCHEM |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8901 W LINCOLN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST ALLIS |
Zip Code Of The Provider |
532272409 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
165 |
Number Of Services |
4454 |
Number Of Medicare Beneficiaries |
3190 |
Total Submitted Charge Amount |
1217164 |
Total Medicare Allowed Amount |
124889.3 |
Total Medicare Payment Amount |
88558.91 |
Total Medicare Standardized Payment Amount |
95544.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
165 |
Number Of Medical Services |
4454 |
Number Of Medicare Beneficiaries With Medical Services |
3190 |
Total Medical Submitted Charge Amount |
1217164 |
Total Medical Medicare Allowed Amount |
124889.3 |
Total Medical Medicare Payment Amount |
88558.91 |
Total Medical Medicare Standardized Payment Amount |
95544.88 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
664 |
Number Of Beneficiaries Age 65 to 74 |
946 |
Number Of Beneficiaries Age 75 to 84 |
861 |
Number Of Beneficiaries Age Greater 84 |
719 |
Number Of Female Beneficiaries |
1930 |
Number Of Male Beneficiaries |
1260 |
Number Of Non Hispanic White Beneficiaries |
2659 |
Number Of Black or African American Beneficiaries |
334 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
126 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
2224 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
966 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9184 |