National Provider Identifier [NPI]: |
1174551139 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5180 N FRESNO ST |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
FRESNO |
Zip Code Of The Provider |
937106853 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1778 |
Number Of Medicare Beneficiaries |
302 |
Total Submitted Charge Amount |
110992.62 |
Total Medicare Allowed Amount |
86619.15 |
Total Medicare Payment Amount |
60425.72 |
Total Medicare Standardized Payment Amount |
61087.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
154 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
3475 |
Total Drug Medicare AllowedAmount |
1781.81 |
Total Drug Medicare PaymentAmount |
1730.32 |
Total Drug Medicare Standardized Payment Amount |
1730.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1624 |
Number Of Medicare Beneficiaries With Medical Services |
302 |
Total Medical Submitted Charge Amount |
107517.62 |
Total Medical Medicare Allowed Amount |
84837.34 |
Total Medical Medicare Payment Amount |
58695.4 |
Total Medical Medicare Standardized Payment Amount |
59356.7 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
165 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
270 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7761 |