National Provider Identifier [NPI]: |
1730208059 |
Last Name Of The Provider |
REINHART |
First Name Of The Provider |
ROLAND |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
39700 BOB HOPE DR |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
RANCHO MIRAGE |
Zip Code Of The Provider |
922703267 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
9723 |
Number Of Medicare Beneficiaries |
1305 |
Total Submitted Charge Amount |
3209767 |
Total Medicare Allowed Amount |
832912.06 |
Total Medicare Payment Amount |
620672.8 |
Total Medicare Standardized Payment Amount |
592618.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
1171 |
Number Of Medicare Beneficiaries With Drug Services |
270 |
Total Drug Submitted ChargeAmount |
71627.4 |
Total Drug Medicare AllowedAmount |
20780.77 |
Total Drug Medicare PaymentAmount |
16286.6 |
Total Drug Medicare Standardized Payment Amount |
16286.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
8552 |
Number Of Medicare Beneficiaries With Medical Services |
1305 |
Total Medical Submitted Charge Amount |
3138139.6 |
Total Medical Medicare Allowed Amount |
812131.29 |
Total Medical Medicare Payment Amount |
604386.2 |
Total Medical Medicare Standardized Payment Amount |
576332.37 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
186 |
Number Of Beneficiaries Age 65 to 74 |
492 |
Number Of Beneficiaries Age 75 to 84 |
425 |
Number Of Beneficiaries Age Greater 84 |
202 |
Number Of Female Beneficiaries |
723 |
Number Of Male Beneficiaries |
582 |
Number Of Non Hispanic White Beneficiaries |
1167 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1131 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.36 |