National Provider Identifier [NPI]: |
1356329932 |
Last Name Of The Provider |
FRINK |
First Name Of The Provider |
NELSON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
945 SHASTA ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959914114 |
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 |
228 |
Number Of Services |
13343 |
Number Of Medicare Beneficiaries |
3544 |
Total Submitted Charge Amount |
1311163.14 |
Total Medicare Allowed Amount |
360791.39 |
Total Medicare Payment Amount |
277835.71 |
Total Medicare Standardized Payment Amount |
270470.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6218 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
7341.14 |
Total Drug Medicare AllowedAmount |
1597.1 |
Total Drug Medicare PaymentAmount |
1249.54 |
Total Drug Medicare Standardized Payment Amount |
1249.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
225 |
Number Of Medical Services |
7125 |
Number Of Medicare Beneficiaries With Medical Services |
3544 |
Total Medical Submitted Charge Amount |
1303822 |
Total Medical Medicare Allowed Amount |
359194.29 |
Total Medical Medicare Payment Amount |
276586.17 |
Total Medical Medicare Standardized Payment Amount |
269221.18 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
714 |
Number Of Beneficiaries Age 65 to 74 |
1250 |
Number Of Beneficiaries Age 75 to 84 |
1059 |
Number Of Beneficiaries Age Greater 84 |
521 |
Number Of Female Beneficiaries |
2075 |
Number Of Male Beneficiaries |
1469 |
Number Of Non Hispanic White Beneficiaries |
2630 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
315 |
Number Of Hispanic Beneficiaries |
435 |
Number Of American Indian Alaska Native Beneficiaries |
55 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2126 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1418 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7637 |