National Provider Identifier [NPI]: |
1982612123 |
Last Name Of The Provider |
NEAL |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
53 S PUUNENE AVE STE 115 |
Street Address 2 Of The Provider |
|
City Of The Provider |
KAHULUI |
Zip Code Of The Provider |
967322192 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
192 |
Number Of Services |
5610 |
Number Of Medicare Beneficiaries |
1776 |
Total Submitted Charge Amount |
792618 |
Total Medicare Allowed Amount |
159936.91 |
Total Medicare Payment Amount |
114686.85 |
Total Medicare Standardized Payment Amount |
109464.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2193 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
8787 |
Total Drug Medicare AllowedAmount |
1088.35 |
Total Drug Medicare PaymentAmount |
837.78 |
Total Drug Medicare Standardized Payment Amount |
837.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
190 |
Number Of Medical Services |
3417 |
Number Of Medicare Beneficiaries With Medical Services |
1775 |
Total Medical Submitted Charge Amount |
783831 |
Total Medical Medicare Allowed Amount |
158848.56 |
Total Medical Medicare Payment Amount |
113849.07 |
Total Medical Medicare Standardized Payment Amount |
108626.42 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
292 |
Number Of Beneficiaries Age 65 to 74 |
644 |
Number Of Beneficiaries Age 75 to 84 |
497 |
Number Of Beneficiaries Age Greater 84 |
343 |
Number Of Female Beneficiaries |
950 |
Number Of Male Beneficiaries |
826 |
Number Of Non Hispanic White Beneficiaries |
756 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
711 |
Number Of Hispanic Beneficiaries |
130 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
156 |
Number Of Beneficiaries With Medicare Only Entitlement |
1284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
492 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.602 |