National Provider Identifier [NPI]: |
1376579219 |
Last Name Of The Provider |
SCHICK |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2125 OAK GROVE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945982536 |
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 |
148 |
Number Of Services |
17061 |
Number Of Medicare Beneficiaries |
2453 |
Total Submitted Charge Amount |
1103959.2 |
Total Medicare Allowed Amount |
201953.98 |
Total Medicare Payment Amount |
156555.97 |
Total Medicare Standardized Payment Amount |
138825.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
13904 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
17943.2 |
Total Drug Medicare AllowedAmount |
5880.2 |
Total Drug Medicare PaymentAmount |
4591.11 |
Total Drug Medicare Standardized Payment Amount |
4591.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
144 |
Number Of Medical Services |
3157 |
Number Of Medicare Beneficiaries With Medical Services |
2452 |
Total Medical Submitted Charge Amount |
1086016 |
Total Medical Medicare Allowed Amount |
196073.78 |
Total Medical Medicare Payment Amount |
151964.86 |
Total Medical Medicare Standardized Payment Amount |
134233.97 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
303 |
Number Of Beneficiaries Age 65 to 74 |
871 |
Number Of Beneficiaries Age 75 to 84 |
749 |
Number Of Beneficiaries Age Greater 84 |
530 |
Number Of Female Beneficiaries |
1500 |
Number Of Male Beneficiaries |
953 |
Number Of Non Hispanic White Beneficiaries |
1940 |
Number Of Black or African American Beneficiaries |
122 |
Number Of AsianPacific Islander Beneficiaries |
162 |
Number Of Hispanic Beneficiaries |
178 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1957 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
496 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7286 |