National Provider Identifier [NPI]: |
1356353247 |
Last Name Of The Provider |
SOLONIUK |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2111 AIRPARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960012433 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
75335 |
Number Of Medicare Beneficiaries |
1585 |
Total Submitted Charge Amount |
5740361.77 |
Total Medicare Allowed Amount |
2416228.58 |
Total Medicare Payment Amount |
2061775.86 |
Total Medicare Standardized Payment Amount |
1570199.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
13587 |
Number Of Medicare Beneficiaries With Drug Services |
808 |
Total Drug Submitted ChargeAmount |
249039 |
Total Drug Medicare AllowedAmount |
35161.6 |
Total Drug Medicare PaymentAmount |
27197.16 |
Total Drug Medicare Standardized Payment Amount |
27197.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
100 |
Number Of Medical Services |
61748 |
Number Of Medicare Beneficiaries With Medical Services |
1585 |
Total Medical Submitted Charge Amount |
5491322.77 |
Total Medical Medicare Allowed Amount |
2381066.98 |
Total Medical Medicare Payment Amount |
2034578.7 |
Total Medical Medicare Standardized Payment Amount |
1543001.99 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
633 |
Number Of Beneficiaries Age 65 to 74 |
543 |
Number Of Beneficiaries Age 75 to 84 |
302 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
962 |
Number Of Male Beneficiaries |
623 |
Number Of Non Hispanic White Beneficiaries |
1467 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
29 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1011 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
574 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1623 |