National Provider Identifier [NPI]: |
1033169891 |
Last Name Of The Provider |
MACLENNAN |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
465 W PUTNAM AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORTERVILLE |
Zip Code Of The Provider |
932573320 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
330 |
Number Of Services |
22353 |
Number Of Medicare Beneficiaries |
5874 |
Total Submitted Charge Amount |
3580167 |
Total Medicare Allowed Amount |
721423.65 |
Total Medicare Payment Amount |
536511.53 |
Total Medicare Standardized Payment Amount |
527717.41 |
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 |
330 |
Number Of Medical Services |
22353 |
Number Of Medicare Beneficiaries With Medical Services |
5874 |
Total Medical Submitted Charge Amount |
3580167 |
Total Medical Medicare Allowed Amount |
721423.65 |
Total Medical Medicare Payment Amount |
536511.53 |
Total Medical Medicare Standardized Payment Amount |
527717.41 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
1169 |
Number Of Beneficiaries Age 65 to 74 |
2420 |
Number Of Beneficiaries Age 75 to 84 |
1589 |
Number Of Beneficiaries Age Greater 84 |
696 |
Number Of Female Beneficiaries |
3727 |
Number Of Male Beneficiaries |
2147 |
Number Of Non Hispanic White Beneficiaries |
3566 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
151 |
Number Of Hispanic Beneficiaries |
1944 |
Number Of American Indian Alaska Native Beneficiaries |
101 |
Number Of Beneficiaries With Race Not Else where Classified |
62 |
Number Of Beneficiaries With Medicare Only Entitlement |
3158 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2716 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3202 |