National Provider Identifier [NPI]: |
1811081375 |
Last Name Of The Provider |
HOWARD |
First Name Of The Provider |
PAUL |
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 |
9097 E DESERT COVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
85260 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
27581 |
Number Of Medicare Beneficiaries |
1011 |
Total Submitted Charge Amount |
969887.22 |
Total Medicare Allowed Amount |
907045.56 |
Total Medicare Payment Amount |
694053.66 |
Total Medicare Standardized Payment Amount |
710769.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
24 |
Number Of Drug Services |
22236 |
Number Of Medicare Beneficiaries With Drug Services |
475 |
Total Drug Submitted ChargeAmount |
523450.55 |
Total Drug Medicare AllowedAmount |
520568.86 |
Total Drug Medicare PaymentAmount |
407515.63 |
Total Drug Medicare Standardized Payment Amount |
407515.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
5345 |
Number Of Medicare Beneficiaries With Medical Services |
1010 |
Total Medical Submitted Charge Amount |
446436.67 |
Total Medical Medicare Allowed Amount |
386476.7 |
Total Medical Medicare Payment Amount |
286538.03 |
Total Medical Medicare Standardized Payment Amount |
303253.64 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
491 |
Number Of Beneficiaries Age 75 to 84 |
379 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
756 |
Number Of Male Beneficiaries |
255 |
Number Of Non Hispanic White Beneficiaries |
966 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1133 |