National Provider Identifier [NPI]: |
1093835068 |
Last Name Of The Provider |
KAMIDA |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
888 S KING ST |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968133009 |
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 |
172 |
Number Of Services |
4346 |
Number Of Medicare Beneficiaries |
2636 |
Total Submitted Charge Amount |
351359.09 |
Total Medicare Allowed Amount |
123588.9 |
Total Medicare Payment Amount |
89296.16 |
Total Medicare Standardized Payment Amount |
90626.04 |
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 |
172 |
Number Of Medical Services |
4346 |
Number Of Medicare Beneficiaries With Medical Services |
2636 |
Total Medical Submitted Charge Amount |
351359.09 |
Total Medical Medicare Allowed Amount |
123588.9 |
Total Medical Medicare Payment Amount |
89296.16 |
Total Medical Medicare Standardized Payment Amount |
90626.04 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
219 |
Number Of Beneficiaries Age 65 to 74 |
981 |
Number Of Beneficiaries Age 75 to 84 |
858 |
Number Of Beneficiaries Age Greater 84 |
578 |
Number Of Female Beneficiaries |
1525 |
Number Of Male Beneficiaries |
1111 |
Number Of Non Hispanic White Beneficiaries |
929 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
1271 |
Number Of Hispanic Beneficiaries |
105 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
300 |
Number Of Beneficiaries With Medicare Only Entitlement |
2369 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
267 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3309 |