National Provider Identifier [NPI]: |
1598975328 |
Last Name Of The Provider |
DENARO |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2301 BAHAMAS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933090663 |
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 |
219 |
Number Of Services |
6383 |
Number Of Medicare Beneficiaries |
2835 |
Total Submitted Charge Amount |
671530 |
Total Medicare Allowed Amount |
273626.58 |
Total Medicare Payment Amount |
215926.12 |
Total Medicare Standardized Payment Amount |
209063.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1467 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
5152 |
Total Drug Medicare AllowedAmount |
2127.07 |
Total Drug Medicare PaymentAmount |
1667.57 |
Total Drug Medicare Standardized Payment Amount |
1667.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
213 |
Number Of Medical Services |
4916 |
Number Of Medicare Beneficiaries With Medical Services |
2835 |
Total Medical Submitted Charge Amount |
666378 |
Total Medical Medicare Allowed Amount |
271499.51 |
Total Medical Medicare Payment Amount |
214258.55 |
Total Medical Medicare Standardized Payment Amount |
207395.59 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
672 |
Number Of Beneficiaries Age 65 to 74 |
1098 |
Number Of Beneficiaries Age 75 to 84 |
706 |
Number Of Beneficiaries Age Greater 84 |
359 |
Number Of Female Beneficiaries |
1851 |
Number Of Male Beneficiaries |
984 |
Number Of Non Hispanic White Beneficiaries |
1794 |
Number Of Black or African American Beneficiaries |
189 |
Number Of AsianPacific Islander Beneficiaries |
83 |
Number Of Hispanic Beneficiaries |
733 |
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1543 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1292 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9076 |