National Provider Identifier [NPI]: |
1518944511 |
Last Name Of The Provider |
ONCAY |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6500 EXCELSIOR BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST LOUIS PARK |
Zip Code Of The Provider |
554264702 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
6026 |
Number Of Medicare Beneficiaries |
1199 |
Total Submitted Charge Amount |
411006.1 |
Total Medicare Allowed Amount |
132344.46 |
Total Medicare Payment Amount |
99238.47 |
Total Medicare Standardized Payment Amount |
103826.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
4075 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
1018.75 |
Total Drug Medicare AllowedAmount |
741.19 |
Total Drug Medicare PaymentAmount |
580.93 |
Total Drug Medicare Standardized Payment Amount |
580.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
185 |
Number Of Medical Services |
1951 |
Number Of Medicare Beneficiaries With Medical Services |
1199 |
Total Medical Submitted Charge Amount |
409987.35 |
Total Medical Medicare Allowed Amount |
131603.27 |
Total Medical Medicare Payment Amount |
98657.54 |
Total Medical Medicare Standardized Payment Amount |
103245.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
261 |
Number Of Beneficiaries Age 65 to 74 |
312 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
252 |
Number Of Female Beneficiaries |
695 |
Number Of Male Beneficiaries |
504 |
Number Of Non Hispanic White Beneficiaries |
1054 |
Number Of Black or African American Beneficiaries |
77 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
919 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
280 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.981 |