National Provider Identifier [NPI]: |
1396754925 |
Last Name Of The Provider |
FARLEY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2401 HARTNELL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960022321 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
10952 |
Number Of Medicare Beneficiaries |
832 |
Total Submitted Charge Amount |
471901.2 |
Total Medicare Allowed Amount |
398920.29 |
Total Medicare Payment Amount |
301879.44 |
Total Medicare Standardized Payment Amount |
295795.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7038 |
Number Of Medicare Beneficiaries With Drug Services |
338 |
Total Drug Submitted ChargeAmount |
122289.2 |
Total Drug Medicare AllowedAmount |
103971.96 |
Total Drug Medicare PaymentAmount |
82283.68 |
Total Drug Medicare Standardized Payment Amount |
82283.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3914 |
Number Of Medicare Beneficiaries With Medical Services |
832 |
Total Medical Submitted Charge Amount |
349612 |
Total Medical Medicare Allowed Amount |
294948.33 |
Total Medical Medicare Payment Amount |
219595.76 |
Total Medical Medicare Standardized Payment Amount |
213511.93 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
288 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
499 |
Number Of Male Beneficiaries |
333 |
Number Of Non Hispanic White Beneficiaries |
792 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
745 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1053 |