National Provider Identifier [NPI]: |
1023205879 |
Last Name Of The Provider |
NARVID |
First Name Of The Provider |
JARED |
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 |
219 BRANNAN ST |
Street Address 2 Of The Provider |
APT.5C |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941074030 |
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 |
103 |
Number Of Services |
5652 |
Number Of Medicare Beneficiaries |
942 |
Total Submitted Charge Amount |
486623 |
Total Medicare Allowed Amount |
104306.27 |
Total Medicare Payment Amount |
80710.7 |
Total Medicare Standardized Payment Amount |
73512.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4229 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
5531 |
Total Drug Medicare AllowedAmount |
1167.5 |
Total Drug Medicare PaymentAmount |
915.35 |
Total Drug Medicare Standardized Payment Amount |
915.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
1423 |
Number Of Medicare Beneficiaries With Medical Services |
942 |
Total Medical Submitted Charge Amount |
481092 |
Total Medical Medicare Allowed Amount |
103138.77 |
Total Medical Medicare Payment Amount |
79795.35 |
Total Medical Medicare Standardized Payment Amount |
72597.19 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
281 |
Number Of Beneficiaries Age Greater 84 |
202 |
Number Of Female Beneficiaries |
567 |
Number Of Male Beneficiaries |
375 |
Number Of Non Hispanic White Beneficiaries |
531 |
Number Of Black or African American Beneficiaries |
114 |
Number Of AsianPacific Islander Beneficiaries |
93 |
Number Of Hispanic Beneficiaries |
171 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
560 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
382 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0906 |