Medicare Facts for Dr. Rita R. Archer, MD


National Provider Identifier [NPI]: 1598890121
Last Name Of The Provider ARCHER
First Name Of The Provider RITA
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 19582 BEACH BLVD
Street Address 2 Of The Provider SUITE 219
City Of The Provider HUNTINGTON BEACH
Zip Code Of The Provider 926482996
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 6
Number Of Services 88
Number Of Medicare Beneficiaries 30
Total Submitted Charge Amount 16335
Total Medicare Allowed Amount 7882.18
Total Medicare Payment Amount 5324.04
Total Medicare Standardized Payment Amount 4779.51
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 6
Number Of Medical Services 88
Number Of Medicare Beneficiaries With Medical Services 30
Total Medical Submitted Charge Amount 16335
Total Medical Medicare Allowed Amount 7882.18
Total Medical Medicare Payment Amount 5324.04
Total Medical Medicare Standardized Payment Amount 4779.51
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
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 30
Number Of Beneficiaries With Medicare Medicaid Entitlement 0
Percent Of With Atrial Fibrillation
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
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.7626

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