National Provider Identifier [NPI]: |
1669400040 |
Last Name Of The Provider |
RICKS |
First Name Of The Provider |
BRYAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 MOUNTIAN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARSON CITY |
Zip Code Of The Provider |
897033821 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1060 |
Number Of Medicare Beneficiaries |
354 |
Total Submitted Charge Amount |
87840.95 |
Total Medicare Allowed Amount |
83967.73 |
Total Medicare Payment Amount |
58509.04 |
Total Medicare Standardized Payment Amount |
57884.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
3353 |
Total Drug Medicare AllowedAmount |
2407.05 |
Total Drug Medicare PaymentAmount |
2343.23 |
Total Drug Medicare Standardized Payment Amount |
2343.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
962 |
Number Of Medicare Beneficiaries With Medical Services |
354 |
Total Medical Submitted Charge Amount |
84487.95 |
Total Medical Medicare Allowed Amount |
81560.68 |
Total Medical Medicare Payment Amount |
56165.81 |
Total Medical Medicare Standardized Payment Amount |
55541.49 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
336 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
335 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9061 |