National Provider Identifier [NPI]: |
1659372241 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5042 WILSHIRE BLVD |
Street Address 2 Of The Provider |
SUITE 261 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900364305 |
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 |
137 |
Number Of Services |
6347 |
Number Of Medicare Beneficiaries |
948 |
Total Submitted Charge Amount |
1178998 |
Total Medicare Allowed Amount |
205517.67 |
Total Medicare Payment Amount |
163639.12 |
Total Medicare Standardized Payment Amount |
147570.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4240 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
21850 |
Total Drug Medicare AllowedAmount |
1549.82 |
Total Drug Medicare PaymentAmount |
1215.07 |
Total Drug Medicare Standardized Payment Amount |
1215.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
2107 |
Number Of Medicare Beneficiaries With Medical Services |
948 |
Total Medical Submitted Charge Amount |
1157148 |
Total Medical Medicare Allowed Amount |
203967.85 |
Total Medical Medicare Payment Amount |
162424.05 |
Total Medical Medicare Standardized Payment Amount |
146355.44 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
247 |
Number Of Beneficiaries Age 65 to 74 |
429 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
655 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
49 |
Number Of Black or African American Beneficiaries |
365 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
512 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
130 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
818 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4188 |