DR. MICHAEL MAIMAN MD
NPI 1588659882
Radiology - Diagnostic Radiology in Oakland, CA


Quality Rating: 81.24 out of 100 score

NPI Status: Active since September 13, 2005

Contact Information

411 30TH ST
#508
OAKLAND, CA
ZIP 94609
Phone: (925) 274-4950
Fax: (925) 274-4975

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  • Individual
  • Male
  • Years of Experience 49
  • Radiology
  • Diagnostic Radiology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About MICHAEL MAIMAN

Michael Maiman is a provider established in Oakland, California and his medical specialization is Radiology with a focus in diagnostic radiology with more than 49 years of experience. He graduated from Northwestern University Feinberg Medical School in 1975. The healthcare provider is registered in the NPI registry with number 1588659882 assigned on September 2005. The practitioner's primary taxonomy code is 2085R0202X with license number G34684 (CA). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1588659882
Provider Name
DR. MICHAEL MAIMAN MD
Gender
Male
Entity Type
Individual
Location Address
411 30TH ST #508 OAKLAND, CA 94609
Location Phone
(925) 274-4950
Location Fax
(925) 274-4975
Mailing Address
411 30TH ST #508 OAKLAND, CA 94609
Mailing Phone
(925) 274-4950
Mailing Fax
(925) 274-4975
Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year
1975
Is Sole Proprietor?
No
Enumeration Date
09-13-2005
Last Update Date
12-23-2010
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Michael Maiman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.24, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: .

The typical physician office visit costs for Medicare beneficiaries in this area are: $26.51 for a new patient copayment and $21.68 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
G34684
License State
CA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A46028MEDICARE UPIN (02) 
00G346843MEDICARE PIN (08)CA 
AR481ZMEDICARE PIN (08)CA 
00G346840MEDICARE PIN (08) 
00G346842MEDICARE PIN (08)CA 

PECOS Enrollment and Medicare Participation Status

Michael Maiman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1951491877

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20071215000264

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 94609 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $106.04
  • Minimum New Patient Price $69.92
  • Maximum New Patient Price $206.38
  • Average New Patient Copayment $26.51
  • Minimum New Patient Copayment $17.48
  • Maximum New Patient Copayment $51.59

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $86.73
  • Minimum Established Patient Price $22.97
  • Maximum Established Patient Price $169.96
  • Average Established Patient Copayment $21.68
  • Minimum Established Patient Copayment $5.74
  • Maximum Established Patient Copayment $42.49

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 81.24 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 77.93

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 1208

    X-ray of chest, 1 view (HCPCS:71045)

  • 636

    X-ray of chest, 2 views (HCPCS:71046)

  • 520

    Mammography of both breasts (HCPCS:77067)

  • 314

    Ct scan head or brain (HCPCS:70450)

  • 268

    Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

  • 233

    Bone density measurement using dedicated x-ray machine (HCPCS:77080)

  • 182

    X-ray of hip with pelvis, 2-3 views (HCPCS:73502)

  • 173

    Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)

  • 169

    X-ray of knee, 3 views (HCPCS:73562)

  • 122

    X-ray of shoulder, minimum of 2 views (HCPCS:73030)

  • 116

    Ct scan chest (HCPCS:71250)

  • 91

    X-ray of foot, minimum of 3 views (HCPCS:73630)

  • 88

    X-ray of hand, minimum of 3 views (HCPCS:73130)

  • 88

    Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

  • 86

    Ct scan of abdomen and pelvis (HCPCS:74176)

  • 75

    Ultrasound of head and neck (HCPCS:76536)

  • 71

    X-ray of wrist, minimum of 3 views (HCPCS:73110)

  • 51

    Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

  • 47

    Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)

  • 40

    Radiological supervision and interpretation of ct guidance for needle insertion (HCPCS:77012)

  • 35

    X-ray of knee, 4 or more views (HCPCS:73564)

  • 31

    Bone and/or joint imaging, whole body (HCPCS:78306)

  • 28

    Ultrasound pelvis through vagina (HCPCS:76830)

  • 26

    X-ray of fingers, minimum of 2 views (HCPCS:73140)

  • 25

    Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

  • 22

    Ct scan of face (HCPCS:70486)

  • 22

    Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)

  • 13

    Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

  • 12

    Ultrasound study of arteries of both arms and legs (HCPCS:93922)

  • 11

    Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Maiman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ADVENTIST HEALTH SONORA1000 GREENLEY ROAD
SONORA, CA 95370
(209) 536-5000Acute Care Hospitals
DOCTORS MEDICAL CENTER1441 FLORIDA AVENUE
MODESTO, CA 95350
(209) 578-1211Acute Care Hospitals
MARK TWAIN MEDICAL CENTER768 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
(209) 754-2515Critical Access Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588659882
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2516812518816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 2 + 5 + 1 + 8 + 8 + 1 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1588659882 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467445767DR. EDWARD DRASIN M.D.
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1790778728DR. STEPHEN J. KAHN M.D.
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1487648853DR. HAYDEN O. EVANS M.D.
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1972597458DR. YURIRIA S. LOBATO MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1982698452DR. RICHARD J. KEENE MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1295720704DR. DOUGLAS C. RIEHLE MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1144215955DR. PATRICK J PERKINS MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1538155841DR. HUMPHREY STUART MANSFIELD MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1609867894MRS. PATRICIA A WALKER DDS
Individual
Dentist (General Practice)411 30TH ST STE 414
OAKLAND, CA 94609
(510) 465-9111
1851372528 MATTHEW JAMES NESPER MD
Individual
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1265480099PACIFIC IMAGING CONSULTANTS, A MEDICAL GROUP, INC.
Organization
Radiology (Diagnostic Radiology)411 30TH ST #508
OAKLAND, CA 94609
(925) 274-4950
1376643254 WADE R CARTWRIGHT MD
Individual
Otolaryngology411 30TH ST # 401
OAKLAND, CA 94609
(510) 834-6642
1205924701DR. MOREY ABRAM WEINGARTEN MD
Individual
Psychiatry & Neurology (Psychiatry)411 30TH ST SUITE 412
OAKLAND, CA 94609
(510) 836-2757
1396829867DR. AIMEE MCKINNEY PORTER D.C.
Individual
Chiropractor411 30TH ST SUITE 304
OAKLAND, CA 94609
(510) 444-2772
1356413983 LORENZO PUERTAS JR. L.AC.
Individual
Acupuncturist411 30TH ST SUITE 304
OAKLAND, CA 94609
(510) 444-2772
1639225444DR. CHRISTOPHER MICHAEL SUE M.D.
Individual
Psychiatry & Neurology (Psychiatry)411 30TH ST SUITE 314
OAKLAND, CA 94609
(510) 273-4200
1356549620 ESTHER ELISABETH JONES
Individual
Counselor411 30TH ST # 314
OAKLAND, CA 94609
(510) 273-4200
1437349255 JAMES JORDAN
Individual
Counselor411 30TH ST #314
OAKLAND, CA 94609
(510) 273-4200
1003006362 MICHELE MABRY WILSON
Individual
Counselor411 30TH ST #314
OAKLAND, CA 94609
(510) 273-4200
1679761597 CAROLINE SAMIEZADE-YAZD
Individual
Religious Nonmedical Nursing Personnel411 30TH ST #314
OAKLAND, CA 94609
(510) 273-4200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588659882, enumerated in the NPI registry as an "individual" on September 13, 2005

The provider is located at 411 30th St #508 Oakland, Ca 94609 and the phone number is (925) 274-4950

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 49 years of experience. He graduated from Northwestern University Feinberg Medical School in 1975.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 21, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $106.04 with an average copayment of $26.51 for new patient appointments. Established patients should expect a typical charge of $86.73 and an average copayment of 21.68. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: X-ray of chest, 1 view, X-ray of chest, 2 views, Mammography of both breasts, Ct scan head or brain, Ct scan of abdomen and pelvis with contrast, Bone density measurement using dedicated x-ray machine, X-ray of hip with pelvis, 2-3 views, Nuclear medicine study with ct imaging skull base to mid-thigh, X-ray of knee, 3 views, X-ray of shoulder, minimum of 2 views, Ct scan chest, X-ray of foot, minimum of 3 views, X-ray of hand, minimum of 3 views, Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, Ct scan of abdomen and pelvis, Ultrasound of head and neck, X-ray of wrist, minimum of 3 views, Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck, Nuclear medicine study of vessels of heart using drugs or exercise multiple studies, Radiological supervision and interpretation of ct guidance for needle insertion, X-ray of knee, 4 or more views, Bone and/or joint imaging, whole body, Ultrasound pelvis through vagina, X-ray of fingers, minimum of 2 views, Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers, Ct scan of face, Ultrasonic guidance imaging supervision and interpretation for insertion of needle, Aspiration and/or injection of large joint or joint capsule, Ultrasound study of arteries of both arms and legs and Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes.

The practitioner is affiliated to the following hospital(s): ADVENTIST HEALTH SONORA, DOCTORS MEDICAL CENTER and MARK TWAIN MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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