National Provider Identifier [NPI]: |
1194721035 |
Last Name Of The Provider |
HILDEBRANDT |
First Name Of The Provider |
HANS-JOACHIM |
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 |
1867 E FIR AVE |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937203808 |
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 |
211 |
Number Of Services |
25932 |
Number Of Medicare Beneficiaries |
3983 |
Total Submitted Charge Amount |
1551271.2 |
Total Medicare Allowed Amount |
337844.18 |
Total Medicare Payment Amount |
255036.52 |
Total Medicare Standardized Payment Amount |
246941.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
20189 |
Number Of Medicare Beneficiaries With Drug Services |
254 |
Total Drug Submitted ChargeAmount |
20937 |
Total Drug Medicare AllowedAmount |
5091.24 |
Total Drug Medicare PaymentAmount |
3989.66 |
Total Drug Medicare Standardized Payment Amount |
3989.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
203 |
Number Of Medical Services |
5743 |
Number Of Medicare Beneficiaries With Medical Services |
3983 |
Total Medical Submitted Charge Amount |
1530334.2 |
Total Medical Medicare Allowed Amount |
332752.94 |
Total Medical Medicare Payment Amount |
251046.86 |
Total Medical Medicare Standardized Payment Amount |
242952.23 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
762 |
Number Of Beneficiaries Age 65 to 74 |
1383 |
Number Of Beneficiaries Age 75 to 84 |
1191 |
Number Of Beneficiaries Age Greater 84 |
647 |
Number Of Female Beneficiaries |
2270 |
Number Of Male Beneficiaries |
1713 |
Number Of Non Hispanic White Beneficiaries |
2329 |
Number Of Black or African American Beneficiaries |
235 |
Number Of AsianPacific Islander Beneficiaries |
267 |
Number Of Hispanic Beneficiaries |
1061 |
Number Of American Indian Alaska Native Beneficiaries |
45 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
2191 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1792 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0014 |