National Provider Identifier [NPI]: |
1548255813 |
Last Name Of The Provider |
MOSER |
First Name Of The Provider |
JOSH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
PAC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 W KENT AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MISSOULA |
Zip Code Of The Provider |
598016772 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
1731 |
Number Of Medicare Beneficiaries |
1111 |
Total Submitted Charge Amount |
130257.07 |
Total Medicare Allowed Amount |
122014.11 |
Total Medicare Payment Amount |
82604.67 |
Total Medicare Standardized Payment Amount |
99913.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
152 |
Total Drug Medicare AllowedAmount |
142.18 |
Total Drug Medicare PaymentAmount |
98.82 |
Total Drug Medicare Standardized Payment Amount |
98.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
1651 |
Number Of Medicare Beneficiaries With Medical Services |
1110 |
Total Medical Submitted Charge Amount |
130105.07 |
Total Medical Medicare Allowed Amount |
121871.93 |
Total Medical Medicare Payment Amount |
82505.85 |
Total Medical Medicare Standardized Payment Amount |
99814.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
503 |
Number Of Beneficiaries Age 75 to 84 |
325 |
Number Of Beneficiaries Age Greater 84 |
192 |
Number Of Female Beneficiaries |
643 |
Number Of Male Beneficiaries |
468 |
Number Of Non Hispanic White Beneficiaries |
1065 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
980 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
34 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9466 |