National Provider Identifier [NPI]: |
1497769368 |
Last Name Of The Provider |
RICHENS |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
161 W 200 N |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
ST GEORGE |
Zip Code Of The Provider |
847702728 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
5588 |
Number Of Medicare Beneficiaries |
1006 |
Total Submitted Charge Amount |
2201653 |
Total Medicare Allowed Amount |
1004528.03 |
Total Medicare Payment Amount |
766583.05 |
Total Medicare Standardized Payment Amount |
789843.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
530 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
348030 |
Total Drug Medicare AllowedAmount |
301585.61 |
Total Drug Medicare PaymentAmount |
235514.79 |
Total Drug Medicare Standardized Payment Amount |
235514.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
5058 |
Number Of Medicare Beneficiaries With Medical Services |
1006 |
Total Medical Submitted Charge Amount |
1853623 |
Total Medical Medicare Allowed Amount |
702942.42 |
Total Medical Medicare Payment Amount |
531068.26 |
Total Medical Medicare Standardized Payment Amount |
554328.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
500 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
596 |
Number Of Male Beneficiaries |
410 |
Number Of Non Hispanic White Beneficiaries |
967 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
964 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9815 |