National Provider Identifier [NPI]: |
1235337684 |
Last Name Of The Provider |
AURAN |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 W ARBOR DR |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921039001 |
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 |
347 |
Number Of Services |
15524 |
Number Of Medicare Beneficiaries |
2525 |
Total Submitted Charge Amount |
1777756.71 |
Total Medicare Allowed Amount |
498863.77 |
Total Medicare Payment Amount |
382293.98 |
Total Medicare Standardized Payment Amount |
376902.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
10791 |
Number Of Medicare Beneficiaries With Drug Services |
151 |
Total Drug Submitted ChargeAmount |
26964 |
Total Drug Medicare AllowedAmount |
3685.08 |
Total Drug Medicare PaymentAmount |
2833.06 |
Total Drug Medicare Standardized Payment Amount |
2833.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
338 |
Number Of Medical Services |
4733 |
Number Of Medicare Beneficiaries With Medical Services |
2525 |
Total Medical Submitted Charge Amount |
1750792.71 |
Total Medical Medicare Allowed Amount |
495178.69 |
Total Medical Medicare Payment Amount |
379460.92 |
Total Medical Medicare Standardized Payment Amount |
374069.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
337 |
Number Of Beneficiaries Age 65 to 74 |
1019 |
Number Of Beneficiaries Age 75 to 84 |
748 |
Number Of Beneficiaries Age Greater 84 |
421 |
Number Of Female Beneficiaries |
1459 |
Number Of Male Beneficiaries |
1066 |
Number Of Non Hispanic White Beneficiaries |
2178 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
234 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2038 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
487 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4883 |