National Provider Identifier [NPI]: |
1336191980 |
Last Name Of The Provider |
RHEE |
First Name Of The Provider |
JASON |
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 |
3545 WILSHIRE BLVD |
Street Address 2 Of The Provider |
SUITE 212 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900102354 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
13255 |
Number Of Medicare Beneficiaries |
989 |
Total Submitted Charge Amount |
2103895 |
Total Medicare Allowed Amount |
690695.17 |
Total Medicare Payment Amount |
518104.03 |
Total Medicare Standardized Payment Amount |
404813.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
9832 |
Number Of Medicare Beneficiaries With Drug Services |
723 |
Total Drug Submitted ChargeAmount |
98320 |
Total Drug Medicare AllowedAmount |
17544.04 |
Total Drug Medicare PaymentAmount |
13713.55 |
Total Drug Medicare Standardized Payment Amount |
13713.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3423 |
Number Of Medicare Beneficiaries With Medical Services |
989 |
Total Medical Submitted Charge Amount |
2005575 |
Total Medical Medicare Allowed Amount |
673151.13 |
Total Medical Medicare Payment Amount |
504390.48 |
Total Medical Medicare Standardized Payment Amount |
391099.86 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
333 |
Number Of Beneficiaries Age 75 to 84 |
428 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
695 |
Number Of Male Beneficiaries |
294 |
Number Of Non Hispanic White Beneficiaries |
50 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
724 |
Number Of Hispanic Beneficiaries |
97 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
120 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
869 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.5432 |