National Provider Identifier [NPI]: |
1558459891 |
Last Name Of The Provider |
SAAVEDRA |
First Name Of The Provider |
JEFFREY |
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 |
1867 E FIR AVE STE 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203841 |
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 |
270 |
Number Of Services |
8021 |
Number Of Medicare Beneficiaries |
2738 |
Total Submitted Charge Amount |
2226733.6 |
Total Medicare Allowed Amount |
427029.02 |
Total Medicare Payment Amount |
330216.06 |
Total Medicare Standardized Payment Amount |
322236.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
2569 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
5873 |
Total Drug Medicare AllowedAmount |
1281.71 |
Total Drug Medicare PaymentAmount |
993.86 |
Total Drug Medicare Standardized Payment Amount |
993.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
254 |
Number Of Medical Services |
5452 |
Number Of Medicare Beneficiaries With Medical Services |
2738 |
Total Medical Submitted Charge Amount |
2220860.6 |
Total Medical Medicare Allowed Amount |
425747.31 |
Total Medical Medicare Payment Amount |
329222.2 |
Total Medical Medicare Standardized Payment Amount |
321242.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
543 |
Number Of Beneficiaries Age 65 to 74 |
972 |
Number Of Beneficiaries Age 75 to 84 |
782 |
Number Of Beneficiaries Age Greater 84 |
441 |
Number Of Female Beneficiaries |
1430 |
Number Of Male Beneficiaries |
1308 |
Number Of Non Hispanic White Beneficiaries |
1442 |
Number Of Black or African American Beneficiaries |
188 |
Number Of AsianPacific Islander Beneficiaries |
208 |
Number Of Hispanic Beneficiaries |
832 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
1369 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1369 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.4408 |