National Provider Identifier [NPI]: |
1548218464 |
Last Name Of The Provider |
STEINBERG |
First Name Of The Provider |
TODD |
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 |
2020 PALOMINO LANE |
Street Address 2 Of The Provider |
STE # 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064894 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
184 |
Number Of Services |
12003 |
Number Of Medicare Beneficiaries |
2821 |
Total Submitted Charge Amount |
1061144.93 |
Total Medicare Allowed Amount |
230658.8 |
Total Medicare Payment Amount |
177289.04 |
Total Medicare Standardized Payment Amount |
175355.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
8368 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
25476.21 |
Total Drug Medicare AllowedAmount |
2057.74 |
Total Drug Medicare PaymentAmount |
1613.12 |
Total Drug Medicare Standardized Payment Amount |
1613.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
3635 |
Number Of Medicare Beneficiaries With Medical Services |
2821 |
Total Medical Submitted Charge Amount |
1035668.72 |
Total Medical Medicare Allowed Amount |
228601.06 |
Total Medical Medicare Payment Amount |
175675.92 |
Total Medical Medicare Standardized Payment Amount |
173742.62 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
558 |
Number Of Beneficiaries Age 65 to 74 |
1193 |
Number Of Beneficiaries Age 75 to 84 |
763 |
Number Of Beneficiaries Age Greater 84 |
307 |
Number Of Female Beneficiaries |
1670 |
Number Of Male Beneficiaries |
1151 |
Number Of Non Hispanic White Beneficiaries |
1985 |
Number Of Black or African American Beneficiaries |
352 |
Number Of AsianPacific Islander Beneficiaries |
125 |
Number Of Hispanic Beneficiaries |
285 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
2084 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
737 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.723 |