National Provider Identifier [NPI]: |
1407069586 |
Last Name Of The Provider |
CRANFORD |
First Name Of The Provider |
CAROLINE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
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 |
58 |
Number Of Services |
8375 |
Number Of Medicare Beneficiaries |
2372 |
Total Submitted Charge Amount |
1186238 |
Total Medicare Allowed Amount |
428651.51 |
Total Medicare Payment Amount |
361268.17 |
Total Medicare Standardized Payment Amount |
366897.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2625 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
5250 |
Total Drug Medicare AllowedAmount |
1073.03 |
Total Drug Medicare PaymentAmount |
841.23 |
Total Drug Medicare Standardized Payment Amount |
841.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
5750 |
Number Of Medicare Beneficiaries With Medical Services |
2372 |
Total Medical Submitted Charge Amount |
1180988 |
Total Medical Medicare Allowed Amount |
427578.48 |
Total Medical Medicare Payment Amount |
360426.94 |
Total Medical Medicare Standardized Payment Amount |
366056.72 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
205 |
Number Of Beneficiaries Age 65 to 74 |
1488 |
Number Of Beneficiaries Age 75 to 84 |
550 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
2171 |
Number Of Male Beneficiaries |
201 |
Number Of Non Hispanic White Beneficiaries |
2018 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
191 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2196 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9033 |