National Provider Identifier [NPI]: |
1477505162 |
Last Name Of The Provider |
SNYDER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 WASHINGTON ST |
Street Address 2 Of The Provider |
STE 510 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921032231 |
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 |
153 |
Number Of Services |
13997 |
Number Of Medicare Beneficiaries |
1958 |
Total Submitted Charge Amount |
2332082.1 |
Total Medicare Allowed Amount |
392301.91 |
Total Medicare Payment Amount |
298622.78 |
Total Medicare Standardized Payment Amount |
290904.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
11181 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
45122 |
Total Drug Medicare AllowedAmount |
5596.63 |
Total Drug Medicare PaymentAmount |
4349.28 |
Total Drug Medicare Standardized Payment Amount |
4349.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
2816 |
Number Of Medicare Beneficiaries With Medical Services |
1958 |
Total Medical Submitted Charge Amount |
2286960.1 |
Total Medical Medicare Allowed Amount |
386705.28 |
Total Medical Medicare Payment Amount |
294273.5 |
Total Medical Medicare Standardized Payment Amount |
286555.2 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
309 |
Number Of Beneficiaries Age 65 to 74 |
860 |
Number Of Beneficiaries Age 75 to 84 |
541 |
Number Of Beneficiaries Age Greater 84 |
248 |
Number Of Female Beneficiaries |
1225 |
Number Of Male Beneficiaries |
733 |
Number Of Non Hispanic White Beneficiaries |
1406 |
Number Of Black or African American Beneficiaries |
115 |
Number Of AsianPacific Islander Beneficiaries |
133 |
Number Of Hispanic Beneficiaries |
261 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
647 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5034 |