National Provider Identifier [NPI]: |
1225054240 |
Last Name Of The Provider |
BIGLER |
First Name Of The Provider |
CARL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1490 N TURQUOISE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLAGSTAFF |
Zip Code Of The Provider |
860011383 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
6340 |
Number Of Medicare Beneficiaries |
1568 |
Total Submitted Charge Amount |
951199 |
Total Medicare Allowed Amount |
592527.23 |
Total Medicare Payment Amount |
433331.18 |
Total Medicare Standardized Payment Amount |
414212.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
79 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
21690 |
Total Drug Medicare AllowedAmount |
17283.01 |
Total Drug Medicare PaymentAmount |
13510.04 |
Total Drug Medicare Standardized Payment Amount |
13510.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
6261 |
Number Of Medicare Beneficiaries With Medical Services |
1568 |
Total Medical Submitted Charge Amount |
929509 |
Total Medical Medicare Allowed Amount |
575244.22 |
Total Medical Medicare Payment Amount |
419821.14 |
Total Medical Medicare Standardized Payment Amount |
400702 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
831 |
Number Of Beneficiaries Age 75 to 84 |
502 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
705 |
Number Of Male Beneficiaries |
863 |
Number Of Non Hispanic White Beneficiaries |
1473 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
32 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1505 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8453 |