National Provider Identifier [NPI]: |
1366472912 |
Last Name Of The Provider |
FINCH |
First Name Of The Provider |
IRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2125 OAK GROVE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945982536 |
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 |
239 |
Number Of Services |
12341 |
Number Of Medicare Beneficiaries |
1037 |
Total Submitted Charge Amount |
1139693 |
Total Medicare Allowed Amount |
209681.83 |
Total Medicare Payment Amount |
163089.71 |
Total Medicare Standardized Payment Amount |
150646.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
10579 |
Number Of Medicare Beneficiaries With Drug Services |
93 |
Total Drug Submitted ChargeAmount |
11520 |
Total Drug Medicare AllowedAmount |
2698.82 |
Total Drug Medicare PaymentAmount |
2105.07 |
Total Drug Medicare Standardized Payment Amount |
2105.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
236 |
Number Of Medical Services |
1762 |
Number Of Medicare Beneficiaries With Medical Services |
1037 |
Total Medical Submitted Charge Amount |
1128173 |
Total Medical Medicare Allowed Amount |
206983.01 |
Total Medical Medicare Payment Amount |
160984.64 |
Total Medical Medicare Standardized Payment Amount |
148541.72 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
359 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
233 |
Number Of Female Beneficiaries |
593 |
Number Of Male Beneficiaries |
444 |
Number Of Non Hispanic White Beneficiaries |
824 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
840 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0578 |