National Provider Identifier [NPI]: |
1164402434 |
Last Name Of The Provider |
RHO |
First Name Of The Provider |
TAE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 PUNCHBOWL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968132402 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
2011 |
Number Of Medicare Beneficiaries |
1261 |
Total Submitted Charge Amount |
445661.36 |
Total Medicare Allowed Amount |
139587.85 |
Total Medicare Payment Amount |
100020.36 |
Total Medicare Standardized Payment Amount |
104032.67 |
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 |
94 |
Number Of Medical Services |
2011 |
Number Of Medicare Beneficiaries With Medical Services |
1261 |
Total Medical Submitted Charge Amount |
445661.36 |
Total Medical Medicare Allowed Amount |
139587.85 |
Total Medical Medicare Payment Amount |
100020.36 |
Total Medical Medicare Standardized Payment Amount |
104032.67 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
371 |
Number Of Beneficiaries Age Greater 84 |
246 |
Number Of Female Beneficiaries |
652 |
Number Of Male Beneficiaries |
609 |
Number Of Non Hispanic White Beneficiaries |
338 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
673 |
Number Of Hispanic Beneficiaries |
74 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
154 |
Number Of Beneficiaries With Medicare Only Entitlement |
1031 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
230 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
1.8095 |