National Provider Identifier [NPI]: |
1356347298 |
Last Name Of The Provider |
GINIER |
First Name Of The Provider |
BRUCE |
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 |
9913 N SEDONA CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937205410 |
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 |
148 |
Number Of Services |
22682 |
Number Of Medicare Beneficiaries |
3744 |
Total Submitted Charge Amount |
2513916.8 |
Total Medicare Allowed Amount |
459271.07 |
Total Medicare Payment Amount |
347460.27 |
Total Medicare Standardized Payment Amount |
340015.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
17424 |
Number Of Medicare Beneficiaries With Drug Services |
307 |
Total Drug Submitted ChargeAmount |
17802 |
Total Drug Medicare AllowedAmount |
5998.99 |
Total Drug Medicare PaymentAmount |
4611.5 |
Total Drug Medicare Standardized Payment Amount |
4611.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
141 |
Number Of Medical Services |
5258 |
Number Of Medicare Beneficiaries With Medical Services |
3743 |
Total Medical Submitted Charge Amount |
2496114.8 |
Total Medical Medicare Allowed Amount |
453272.08 |
Total Medical Medicare Payment Amount |
342848.77 |
Total Medical Medicare Standardized Payment Amount |
335404.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
688 |
Number Of Beneficiaries Age 65 to 74 |
1331 |
Number Of Beneficiaries Age 75 to 84 |
1060 |
Number Of Beneficiaries Age Greater 84 |
665 |
Number Of Female Beneficiaries |
2166 |
Number Of Male Beneficiaries |
1578 |
Number Of Non Hispanic White Beneficiaries |
2175 |
Number Of Black or African American Beneficiaries |
220 |
Number Of AsianPacific Islander Beneficiaries |
250 |
Number Of Hispanic Beneficiaries |
1024 |
Number Of American Indian Alaska Native Beneficiaries |
37 |
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
2041 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1703 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.8971 |