National Provider Identifier [NPI]: |
1497792436 |
Last Name Of The Provider |
RENARD |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1505 VICTOR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDDING |
Zip Code Of The Provider |
960034031 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
25205 |
Number Of Medicare Beneficiaries |
615 |
Total Submitted Charge Amount |
582020.57 |
Total Medicare Allowed Amount |
436433.55 |
Total Medicare Payment Amount |
326144.4 |
Total Medicare Standardized Payment Amount |
312915.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5609 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
136535.6 |
Total Drug Medicare AllowedAmount |
123732.08 |
Total Drug Medicare PaymentAmount |
96980.22 |
Total Drug Medicare Standardized Payment Amount |
96980.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
19596 |
Number Of Medicare Beneficiaries With Medical Services |
615 |
Total Medical Submitted Charge Amount |
445484.97 |
Total Medical Medicare Allowed Amount |
312701.47 |
Total Medical Medicare Payment Amount |
229164.18 |
Total Medical Medicare Standardized Payment Amount |
215935.07 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
242 |
Number Of Non Hispanic White Beneficiaries |
579 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
565 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9406 |