National Provider Identifier [NPI]: |
1205992310 |
Last Name Of The Provider |
KNOX |
First Name Of The Provider |
FRANCES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 COFFEE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MODESTO |
Zip Code Of The Provider |
953554201 |
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 |
129 |
Number Of Services |
22251 |
Number Of Medicare Beneficiaries |
2713 |
Total Submitted Charge Amount |
1814584.91 |
Total Medicare Allowed Amount |
399598.4 |
Total Medicare Payment Amount |
334073.51 |
Total Medicare Standardized Payment Amount |
320661.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
17950 |
Number Of Medicare Beneficiaries With Drug Services |
178 |
Total Drug Submitted ChargeAmount |
18337.25 |
Total Drug Medicare AllowedAmount |
3675.13 |
Total Drug Medicare PaymentAmount |
2861.23 |
Total Drug Medicare Standardized Payment Amount |
2861.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
4301 |
Number Of Medicare Beneficiaries With Medical Services |
2713 |
Total Medical Submitted Charge Amount |
1796247.66 |
Total Medical Medicare Allowed Amount |
395923.27 |
Total Medical Medicare Payment Amount |
331212.28 |
Total Medical Medicare Standardized Payment Amount |
317800.5 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
502 |
Number Of Beneficiaries Age 65 to 74 |
1315 |
Number Of Beneficiaries Age 75 to 84 |
656 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
2065 |
Number Of Male Beneficiaries |
648 |
Number Of Non Hispanic White Beneficiaries |
1946 |
Number Of Black or African American Beneficiaries |
130 |
Number Of AsianPacific Islander Beneficiaries |
113 |
Number Of Hispanic Beneficiaries |
451 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
56 |
Number Of Beneficiaries With Medicare Only Entitlement |
1842 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
871 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3109 |