National Provider Identifier [NPI]: |
1962454843 |
Last Name Of The Provider |
NOON |
First Name Of The Provider |
MICHAEL |
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 |
10150 SORRENTO VALLEY RD |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921211635 |
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 |
94 |
Number Of Services |
4384 |
Number Of Medicare Beneficiaries |
2634 |
Total Submitted Charge Amount |
210593.5 |
Total Medicare Allowed Amount |
70350.52 |
Total Medicare Payment Amount |
53998.71 |
Total Medicare Standardized Payment Amount |
53040.78 |
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 |
94 |
Number Of Medical Services |
4384 |
Number Of Medicare Beneficiaries With Medical Services |
2634 |
Total Medical Submitted Charge Amount |
210593.5 |
Total Medical Medicare Allowed Amount |
70350.52 |
Total Medical Medicare Payment Amount |
53998.71 |
Total Medical Medicare Standardized Payment Amount |
53040.78 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
1092 |
Number Of Beneficiaries Age 75 to 84 |
831 |
Number Of Beneficiaries Age Greater 84 |
499 |
Number Of Female Beneficiaries |
1843 |
Number Of Male Beneficiaries |
791 |
Number Of Non Hispanic White Beneficiaries |
1851 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
189 |
Number Of Hispanic Beneficiaries |
468 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
65 |
Number Of Beneficiaries With Medicare Only Entitlement |
2037 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
597 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4966 |