National Provider Identifier [NPI]: |
1255350591 |
Last Name Of The Provider |
SCHALE |
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 |
2301 BAHAMAS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933090663 |
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 |
213 |
Number Of Services |
5501 |
Number Of Medicare Beneficiaries |
2140 |
Total Submitted Charge Amount |
524295.92 |
Total Medicare Allowed Amount |
217876.48 |
Total Medicare Payment Amount |
174186.95 |
Total Medicare Standardized Payment Amount |
167127.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1725 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
12229.65 |
Total Drug Medicare AllowedAmount |
5617.35 |
Total Drug Medicare PaymentAmount |
4404 |
Total Drug Medicare Standardized Payment Amount |
4404 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
203 |
Number Of Medical Services |
3776 |
Number Of Medicare Beneficiaries With Medical Services |
2140 |
Total Medical Submitted Charge Amount |
512066.27 |
Total Medical Medicare Allowed Amount |
212259.13 |
Total Medical Medicare Payment Amount |
169782.95 |
Total Medical Medicare Standardized Payment Amount |
162723.87 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
484 |
Number Of Beneficiaries Age 65 to 74 |
828 |
Number Of Beneficiaries Age 75 to 84 |
565 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
1402 |
Number Of Male Beneficiaries |
738 |
Number Of Non Hispanic White Beneficiaries |
1343 |
Number Of Black or African American Beneficiaries |
135 |
Number Of AsianPacific Islander Beneficiaries |
65 |
Number Of Hispanic Beneficiaries |
561 |
Number Of American Indian Alaska Native Beneficiaries |
22 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1151 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
989 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0535 |