National Provider Identifier [NPI]: |
1295705028 |
Last Name Of The Provider |
AUFRICHTIG |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2180 LYNN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
THOUSAND OAKS |
Zip Code Of The Provider |
91360 |
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 |
242 |
Number Of Services |
19106 |
Number Of Medicare Beneficiaries |
2998 |
Total Submitted Charge Amount |
1307179 |
Total Medicare Allowed Amount |
374827.57 |
Total Medicare Payment Amount |
286987.26 |
Total Medicare Standardized Payment Amount |
268384.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13225 |
Number Of Medicare Beneficiaries With Drug Services |
149 |
Total Drug Submitted ChargeAmount |
13225 |
Total Drug Medicare AllowedAmount |
3472.9 |
Total Drug Medicare PaymentAmount |
2582.81 |
Total Drug Medicare Standardized Payment Amount |
2582.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
240 |
Number Of Medical Services |
5881 |
Number Of Medicare Beneficiaries With Medical Services |
2998 |
Total Medical Submitted Charge Amount |
1293954 |
Total Medical Medicare Allowed Amount |
371354.67 |
Total Medical Medicare Payment Amount |
284404.45 |
Total Medical Medicare Standardized Payment Amount |
265801.86 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
1062 |
Number Of Beneficiaries Age 75 to 84 |
953 |
Number Of Beneficiaries Age Greater 84 |
771 |
Number Of Female Beneficiaries |
1700 |
Number Of Male Beneficiaries |
1298 |
Number Of Non Hispanic White Beneficiaries |
2609 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
109 |
Number Of Hispanic Beneficiaries |
190 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
2579 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
419 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7074 |