National Provider Identifier [NPI]: |
1699820688 |
Last Name Of The Provider |
ROEFS |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1817 TRUXTUN AVE |
Street Address 2 Of The Provider |
TRUXTUN RADIOLOGY MEDICAL GROUP LP |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
93301 |
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 |
144 |
Number Of Services |
5926 |
Number Of Medicare Beneficiaries |
962 |
Total Submitted Charge Amount |
1023494.04 |
Total Medicare Allowed Amount |
353323.15 |
Total Medicare Payment Amount |
267190.09 |
Total Medicare Standardized Payment Amount |
252706.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
4319 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
24111 |
Total Drug Medicare AllowedAmount |
2581.28 |
Total Drug Medicare PaymentAmount |
1853.98 |
Total Drug Medicare Standardized Payment Amount |
1853.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
1607 |
Number Of Medicare Beneficiaries With Medical Services |
962 |
Total Medical Submitted Charge Amount |
999383.04 |
Total Medical Medicare Allowed Amount |
350741.87 |
Total Medical Medicare Payment Amount |
265336.11 |
Total Medical Medicare Standardized Payment Amount |
250852.95 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
288 |
Number Of Beneficiaries Age 65 to 74 |
390 |
Number Of Beneficiaries Age 75 to 84 |
226 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
600 |
Number Of Male Beneficiaries |
362 |
Number Of Non Hispanic White Beneficiaries |
523 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
322 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
441 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
521 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7903 |