National Provider Identifier [NPI]: |
1235135575 |
Last Name Of The Provider |
BEATY |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9700 N 91ST ST |
Street Address 2 Of The Provider |
SUITE A200 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852585054 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
2280 |
Number Of Medicare Beneficiaries |
538 |
Total Submitted Charge Amount |
386417.9 |
Total Medicare Allowed Amount |
253014.97 |
Total Medicare Payment Amount |
196284.15 |
Total Medicare Standardized Payment Amount |
197850.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1375 |
Total Drug Medicare AllowedAmount |
1054.72 |
Total Drug Medicare PaymentAmount |
1033.58 |
Total Drug Medicare Standardized Payment Amount |
1033.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2257 |
Number Of Medicare Beneficiaries With Medical Services |
538 |
Total Medical Submitted Charge Amount |
385042.9 |
Total Medical Medicare Allowed Amount |
251960.25 |
Total Medical Medicare Payment Amount |
195250.57 |
Total Medical Medicare Standardized Payment Amount |
196816.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
251 |
Number Of Beneficiaries Age 75 to 84 |
178 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
269 |
Number Of Male Beneficiaries |
269 |
Number Of Non Hispanic White Beneficiaries |
506 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
509 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8462 |