National Provider Identifier [NPI]: |
1649363334 |
Last Name Of The Provider |
READER |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
390 N. PEARSON DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORTERVILLE |
Zip Code Of The Provider |
93257 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
2153 |
Number Of Medicare Beneficiaries |
1010 |
Total Submitted Charge Amount |
327548.25 |
Total Medicare Allowed Amount |
230901.8 |
Total Medicare Payment Amount |
167471.87 |
Total Medicare Standardized Payment Amount |
163743.56 |
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 |
67 |
Number Of Medical Services |
2153 |
Number Of Medicare Beneficiaries With Medical Services |
1010 |
Total Medical Submitted Charge Amount |
327548.25 |
Total Medical Medicare Allowed Amount |
230901.8 |
Total Medical Medicare Payment Amount |
167471.87 |
Total Medical Medicare Standardized Payment Amount |
163743.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
422 |
Number Of Beneficiaries Age 75 to 84 |
292 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
586 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
707 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
248 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
642 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
368 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1828 |