National Provider Identifier [NPI]: |
1366545568 |
Last Name Of The Provider |
AMACHER |
First Name Of The Provider |
KATHRYN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
313 KENDAL ST |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
VACAVILLE |
Zip Code Of The Provider |
956883960 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
3058 |
Number Of Medicare Beneficiaries |
716 |
Total Submitted Charge Amount |
417060 |
Total Medicare Allowed Amount |
297531.19 |
Total Medicare Payment Amount |
216968.07 |
Total Medicare Standardized Payment Amount |
194946.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
70 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
3415 |
Total Drug Medicare AllowedAmount |
1133.41 |
Total Drug Medicare PaymentAmount |
1083.33 |
Total Drug Medicare Standardized Payment Amount |
1083.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2988 |
Number Of Medicare Beneficiaries With Medical Services |
716 |
Total Medical Submitted Charge Amount |
413645 |
Total Medical Medicare Allowed Amount |
296397.78 |
Total Medical Medicare Payment Amount |
215884.74 |
Total Medical Medicare Standardized Payment Amount |
193863.25 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
106 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
470 |
Number Of Male Beneficiaries |
246 |
Number Of Non Hispanic White Beneficiaries |
564 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
625 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
50 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7573 |