National Provider Identifier [NPI]: |
1902846181 |
Last Name Of The Provider |
PAGANO |
First Name Of The Provider |
RALPH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13760 N 93RD AVE |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
PEORIA |
Zip Code Of The Provider |
853814201 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
4845 |
Number Of Medicare Beneficiaries |
735 |
Total Submitted Charge Amount |
497385.2 |
Total Medicare Allowed Amount |
248327.89 |
Total Medicare Payment Amount |
182994.6 |
Total Medicare Standardized Payment Amount |
186044.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3068 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
36086.2 |
Total Drug Medicare AllowedAmount |
16520.27 |
Total Drug Medicare PaymentAmount |
12949.54 |
Total Drug Medicare Standardized Payment Amount |
12949.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1777 |
Number Of Medicare Beneficiaries With Medical Services |
735 |
Total Medical Submitted Charge Amount |
461299 |
Total Medical Medicare Allowed Amount |
231807.62 |
Total Medical Medicare Payment Amount |
170045.06 |
Total Medical Medicare Standardized Payment Amount |
173095.24 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
434 |
Number Of Male Beneficiaries |
301 |
Number Of Non Hispanic White Beneficiaries |
697 |
Number Of Black or African American Beneficiaries |
13 |
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 |
704 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.401 |