National Provider Identifier [NPI]: |
1114963949 |
Last Name Of The Provider |
DILLARD |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 12TH AVE N |
Street Address 2 Of The Provider |
SUITE 210W |
City Of The Provider |
BILLINGS |
Zip Code Of The Provider |
591017506 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
244 |
Number Of Services |
5976 |
Number Of Medicare Beneficiaries |
3334 |
Total Submitted Charge Amount |
726132 |
Total Medicare Allowed Amount |
211158.15 |
Total Medicare Payment Amount |
153869.28 |
Total Medicare Standardized Payment Amount |
155423.55 |
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 |
244 |
Number Of Medical Services |
5976 |
Number Of Medicare Beneficiaries With Medical Services |
3334 |
Total Medical Submitted Charge Amount |
726132 |
Total Medical Medicare Allowed Amount |
211158.15 |
Total Medical Medicare Payment Amount |
153869.28 |
Total Medical Medicare Standardized Payment Amount |
155423.55 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
484 |
Number Of Beneficiaries Age 65 to 74 |
1303 |
Number Of Beneficiaries Age 75 to 84 |
1044 |
Number Of Beneficiaries Age Greater 84 |
503 |
Number Of Female Beneficiaries |
1963 |
Number Of Male Beneficiaries |
1371 |
Number Of Non Hispanic White Beneficiaries |
3010 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
74 |
Number Of American Indian Alaska Native Beneficiaries |
188 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
2730 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
604 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3508 |