National Provider Identifier [NPI]: |
1881650240 |
Last Name Of The Provider |
HILL |
First Name Of The Provider |
JENNIFER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1600 W AVENUE J |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
935342814 |
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 |
149 |
Number Of Services |
12362 |
Number Of Medicare Beneficiaries |
2125 |
Total Submitted Charge Amount |
2795092.27 |
Total Medicare Allowed Amount |
423418.12 |
Total Medicare Payment Amount |
321419.07 |
Total Medicare Standardized Payment Amount |
304032.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
8912 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
13747.27 |
Total Drug Medicare AllowedAmount |
4742.7 |
Total Drug Medicare PaymentAmount |
3718.25 |
Total Drug Medicare Standardized Payment Amount |
3718.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
142 |
Number Of Medical Services |
3450 |
Number Of Medicare Beneficiaries With Medical Services |
2125 |
Total Medical Submitted Charge Amount |
2781345 |
Total Medical Medicare Allowed Amount |
418675.42 |
Total Medical Medicare Payment Amount |
317700.82 |
Total Medical Medicare Standardized Payment Amount |
300313.97 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
438 |
Number Of Beneficiaries Age 65 to 74 |
697 |
Number Of Beneficiaries Age 75 to 84 |
618 |
Number Of Beneficiaries Age Greater 84 |
372 |
Number Of Female Beneficiaries |
1248 |
Number Of Male Beneficiaries |
877 |
Number Of Non Hispanic White Beneficiaries |
1365 |
Number Of Black or African American Beneficiaries |
232 |
Number Of AsianPacific Islander Beneficiaries |
122 |
Number Of Hispanic Beneficiaries |
364 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1124 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1001 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
1.9583 |