National Provider Identifier [NPI]: |
1174572572 |
Last Name Of The Provider |
REINER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1624 W OLIVE AVE |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
BURBANK |
Zip Code Of The Provider |
915062459 |
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 |
197 |
Number Of Services |
12338.5 |
Number Of Medicare Beneficiaries |
2804 |
Total Submitted Charge Amount |
1694966.66 |
Total Medicare Allowed Amount |
401906.24 |
Total Medicare Payment Amount |
300416.35 |
Total Medicare Standardized Payment Amount |
282622.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7207.5 |
Number Of Medicare Beneficiaries With Drug Services |
146 |
Total Drug Submitted ChargeAmount |
15355 |
Total Drug Medicare AllowedAmount |
3974.85 |
Total Drug Medicare PaymentAmount |
3084.05 |
Total Drug Medicare Standardized Payment Amount |
3084.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
192 |
Number Of Medical Services |
5131 |
Number Of Medicare Beneficiaries With Medical Services |
2802 |
Total Medical Submitted Charge Amount |
1679611.66 |
Total Medical Medicare Allowed Amount |
397931.39 |
Total Medical Medicare Payment Amount |
297332.3 |
Total Medical Medicare Standardized Payment Amount |
279538.89 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
264 |
Number Of Beneficiaries Age 65 to 74 |
978 |
Number Of Beneficiaries Age 75 to 84 |
958 |
Number Of Beneficiaries Age Greater 84 |
604 |
Number Of Female Beneficiaries |
1625 |
Number Of Male Beneficiaries |
1179 |
Number Of Non Hispanic White Beneficiaries |
1986 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
193 |
Number Of Hispanic Beneficiaries |
463 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1780 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1024 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9746 |