National Provider Identifier [NPI]: |
1417035817 |
Last Name Of The Provider |
VERHEY |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D., M.S. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11035 MONTANO RANCH CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895114330 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
3392 |
Number Of Medicare Beneficiaries |
2443 |
Total Submitted Charge Amount |
561444 |
Total Medicare Allowed Amount |
145333.95 |
Total Medicare Payment Amount |
112730.48 |
Total Medicare Standardized Payment Amount |
112236.21 |
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 |
112 |
Number Of Medical Services |
3392 |
Number Of Medicare Beneficiaries With Medical Services |
2443 |
Total Medical Submitted Charge Amount |
561444 |
Total Medical Medicare Allowed Amount |
145333.95 |
Total Medical Medicare Payment Amount |
112730.48 |
Total Medical Medicare Standardized Payment Amount |
112236.21 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
556 |
Number Of Beneficiaries Age 65 to 74 |
679 |
Number Of Beneficiaries Age 75 to 84 |
745 |
Number Of Beneficiaries Age Greater 84 |
463 |
Number Of Female Beneficiaries |
1378 |
Number Of Male Beneficiaries |
1065 |
Number Of Non Hispanic White Beneficiaries |
1899 |
Number Of Black or African American Beneficiaries |
226 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
277 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1496 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
947 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.3431 |