National Provider Identifier [NPI]: |
1932154200 |
Last Name Of The Provider |
BINGHAM |
First Name Of The Provider |
JARED |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
94 W MAIN |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTAQUIN |
Zip Code Of The Provider |
84660 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
677 |
Number Of Medicare Beneficiaries |
229 |
Total Submitted Charge Amount |
48102.5 |
Total Medicare Allowed Amount |
32349.24 |
Total Medicare Payment Amount |
20347.74 |
Total Medicare Standardized Payment Amount |
21933.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
1996 |
Total Drug Medicare AllowedAmount |
1636.18 |
Total Drug Medicare PaymentAmount |
1593.71 |
Total Drug Medicare Standardized Payment Amount |
1593.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
621 |
Number Of Medicare Beneficiaries With Medical Services |
229 |
Total Medical Submitted Charge Amount |
46106.5 |
Total Medical Medicare Allowed Amount |
30713.06 |
Total Medical Medicare Payment Amount |
18754.03 |
Total Medical Medicare Standardized Payment Amount |
20339.46 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
96 |
Number Of Non Hispanic White Beneficiaries |
218 |
Number Of Black or African American Beneficiaries |
0 |
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 |
211 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
25 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9508 |