National Provider Identifier [NPI]: |
1811975998 |
Last Name Of The Provider |
ADAMS |
First Name Of The Provider |
REX |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6630 S MCCARRAN BLVD |
Street Address 2 Of The Provider |
BLDG. C-206 |
City Of The Provider |
RENO |
Zip Code Of The Provider |
895096135 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
1019 |
Number Of Medicare Beneficiaries |
156 |
Total Submitted Charge Amount |
99276.4 |
Total Medicare Allowed Amount |
65265.74 |
Total Medicare Payment Amount |
44515.6 |
Total Medicare Standardized Payment Amount |
44817.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
469 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
11856.4 |
Total Drug Medicare AllowedAmount |
9491.31 |
Total Drug Medicare PaymentAmount |
7333.36 |
Total Drug Medicare Standardized Payment Amount |
7333.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
550 |
Number Of Medicare Beneficiaries With Medical Services |
156 |
Total Medical Submitted Charge Amount |
87420 |
Total Medical Medicare Allowed Amount |
55774.43 |
Total Medical Medicare Payment Amount |
37182.24 |
Total Medical Medicare Standardized Payment Amount |
37483.83 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
83 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
106 |
Number Of Male Beneficiaries |
50 |
Number Of Non Hispanic White Beneficiaries |
138 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0553 |