National Provider Identifier [NPI]: |
1932119542 |
Last Name Of The Provider |
BAUMAN |
First Name Of The Provider |
CHRIS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4411 THE 25 WAY NE |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
ALBUQUERQUE |
Zip Code Of The Provider |
871095857 |
State Code Of The Provider |
NM |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
176 |
Number Of Services |
5828 |
Number Of Medicare Beneficiaries |
3039 |
Total Submitted Charge Amount |
515764.07 |
Total Medicare Allowed Amount |
188544.51 |
Total Medicare Payment Amount |
156299.94 |
Total Medicare Standardized Payment Amount |
165258.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1466 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
2377.57 |
Total Drug Medicare AllowedAmount |
681.69 |
Total Drug Medicare PaymentAmount |
534.43 |
Total Drug Medicare Standardized Payment Amount |
534.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
4362 |
Number Of Medicare Beneficiaries With Medical Services |
3039 |
Total Medical Submitted Charge Amount |
513386.5 |
Total Medical Medicare Allowed Amount |
187862.82 |
Total Medical Medicare Payment Amount |
155765.51 |
Total Medical Medicare Standardized Payment Amount |
164723.95 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
582 |
Number Of Beneficiaries Age 65 to 74 |
1310 |
Number Of Beneficiaries Age 75 to 84 |
793 |
Number Of Beneficiaries Age Greater 84 |
354 |
Number Of Female Beneficiaries |
2097 |
Number Of Male Beneficiaries |
942 |
Number Of Non Hispanic White Beneficiaries |
1864 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
898 |
Number Of American Indian Alaska Native Beneficiaries |
132 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
2190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
849 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3011 |