National Provider Identifier [NPI]: |
1225096464 |
Last Name Of The Provider |
GREELEY |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2323 W ROSE GARDEN LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850272530 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
33894 |
Number Of Medicare Beneficiaries |
3747 |
Total Submitted Charge Amount |
2285927.16 |
Total Medicare Allowed Amount |
548962.06 |
Total Medicare Payment Amount |
406316.7 |
Total Medicare Standardized Payment Amount |
419230.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
26880 |
Number Of Medicare Beneficiaries With Drug Services |
336 |
Total Drug Submitted ChargeAmount |
54401.16 |
Total Drug Medicare AllowedAmount |
7375.35 |
Total Drug Medicare PaymentAmount |
5700.75 |
Total Drug Medicare Standardized Payment Amount |
5700.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
7014 |
Number Of Medicare Beneficiaries With Medical Services |
3747 |
Total Medical Submitted Charge Amount |
2231526 |
Total Medical Medicare Allowed Amount |
541586.71 |
Total Medical Medicare Payment Amount |
400615.95 |
Total Medical Medicare Standardized Payment Amount |
413529.33 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
486 |
Number Of Beneficiaries Age 65 to 74 |
1993 |
Number Of Beneficiaries Age 75 to 84 |
964 |
Number Of Beneficiaries Age Greater 84 |
304 |
Number Of Female Beneficiaries |
2142 |
Number Of Male Beneficiaries |
1605 |
Number Of Non Hispanic White Beneficiaries |
2887 |
Number Of Black or African American Beneficiaries |
235 |
Number Of AsianPacific Islander Beneficiaries |
69 |
Number Of Hispanic Beneficiaries |
467 |
Number Of American Indian Alaska Native Beneficiaries |
40 |
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
3189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
558 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4137 |