National Provider Identifier [NPI]: |
1962405290 |
Last Name Of The Provider |
HAYASHI |
First Name Of The Provider |
GRANT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1350 STARDUST ST |
Street Address 2 Of The Provider |
STE D |
City Of The Provider |
RENO |
Zip Code Of The Provider |
895034264 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
3 |
Number Of Services |
3142 |
Number Of Medicare Beneficiaries |
1328 |
Total Submitted Charge Amount |
810031 |
Total Medicare Allowed Amount |
238156.77 |
Total Medicare Payment Amount |
181949.71 |
Total Medicare Standardized Payment Amount |
122319.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
3 |
Number Of Medical Services |
3142 |
Number Of Medicare Beneficiaries With Medical Services |
1328 |
Total Medical Submitted Charge Amount |
810031 |
Total Medical Medicare Allowed Amount |
238156.77 |
Total Medical Medicare Payment Amount |
181949.71 |
Total Medical Medicare Standardized Payment Amount |
122319.57 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
821 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
703 |
Number Of Male Beneficiaries |
625 |
Number Of Non Hispanic White Beneficiaries |
1177 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1200 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.857 |