National Provider Identifier [NPI]: |
1306860127 |
Last Name Of The Provider |
CUTRONE |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
39000 BOB HOPE DR |
Street Address 2 Of The Provider |
EISENHOWER IMAGING CENTER |
City Of The Provider |
RANCHO MIRAGE |
Zip Code Of The Provider |
922703221 |
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 |
31 |
Number Of Services |
19668 |
Number Of Medicare Beneficiaries |
8478 |
Total Submitted Charge Amount |
1360421.06 |
Total Medicare Allowed Amount |
427165.53 |
Total Medicare Payment Amount |
383036.79 |
Total Medicare Standardized Payment Amount |
375797.99 |
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 |
31 |
Number Of Medical Services |
19668 |
Number Of Medicare Beneficiaries With Medical Services |
8478 |
Total Medical Submitted Charge Amount |
1360421.06 |
Total Medical Medicare Allowed Amount |
427165.53 |
Total Medical Medicare Payment Amount |
383036.79 |
Total Medical Medicare Standardized Payment Amount |
375797.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
250 |
Number Of Beneficiaries Age 65 to 74 |
4504 |
Number Of Beneficiaries Age 75 to 84 |
2977 |
Number Of Beneficiaries Age Greater 84 |
747 |
Number Of Female Beneficiaries |
8197 |
Number Of Male Beneficiaries |
281 |
Number Of Non Hispanic White Beneficiaries |
7830 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
93 |
Number Of Hispanic Beneficiaries |
378 |
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
89 |
Number Of Beneficiaries With Medicare Only Entitlement |
8120 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
358 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8714 |