National Provider Identifier [NPI]: |
1952515553 |
Last Name Of The Provider |
PALMER |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
842 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
975047134 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
301 |
Number Of Services |
5332 |
Number Of Medicare Beneficiaries |
2864 |
Total Submitted Charge Amount |
636257.54 |
Total Medicare Allowed Amount |
201323.02 |
Total Medicare Payment Amount |
154603.38 |
Total Medicare Standardized Payment Amount |
159637.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
895 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
1561 |
Total Drug Medicare AllowedAmount |
366.86 |
Total Drug Medicare PaymentAmount |
287.61 |
Total Drug Medicare Standardized Payment Amount |
287.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
300 |
Number Of Medical Services |
4437 |
Number Of Medicare Beneficiaries With Medical Services |
2864 |
Total Medical Submitted Charge Amount |
634696.54 |
Total Medical Medicare Allowed Amount |
200956.16 |
Total Medical Medicare Payment Amount |
154315.77 |
Total Medical Medicare Standardized Payment Amount |
159349.61 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
529 |
Number Of Beneficiaries Age 65 to 74 |
1151 |
Number Of Beneficiaries Age 75 to 84 |
792 |
Number Of Beneficiaries Age Greater 84 |
392 |
Number Of Female Beneficiaries |
1554 |
Number Of Male Beneficiaries |
1310 |
Number Of Non Hispanic White Beneficiaries |
2699 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
35 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
2178 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
686 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4611 |