National Provider Identifier [NPI]: |
1760467708 |
Last Name Of The Provider |
MAYS |
First Name Of The Provider |
WARREN |
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 |
77 PRINGLE WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895021474 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
213 |
Number Of Services |
7444 |
Number Of Medicare Beneficiaries |
3875 |
Total Submitted Charge Amount |
531017.49 |
Total Medicare Allowed Amount |
238816.92 |
Total Medicare Payment Amount |
182622.3 |
Total Medicare Standardized Payment Amount |
186139.52 |
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 |
213 |
Number Of Medical Services |
7444 |
Number Of Medicare Beneficiaries With Medical Services |
3875 |
Total Medical Submitted Charge Amount |
531017.49 |
Total Medical Medicare Allowed Amount |
238816.92 |
Total Medical Medicare Payment Amount |
182622.3 |
Total Medical Medicare Standardized Payment Amount |
186139.52 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
345 |
Number Of Beneficiaries Age 65 to 74 |
1761 |
Number Of Beneficiaries Age 75 to 84 |
1211 |
Number Of Beneficiaries Age Greater 84 |
558 |
Number Of Female Beneficiaries |
2537 |
Number Of Male Beneficiaries |
1338 |
Number Of Non Hispanic White Beneficiaries |
3596 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
164 |
Number Of American Indian Alaska Native Beneficiaries |
49 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
3446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
429 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1175 |