National Provider Identifier [NPI]: |
1801830542 |
Last Name Of The Provider |
WORHACZ |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14416 W MEEKER BLVD |
Street Address 2 Of The Provider |
BLDG C |
City Of The Provider |
SUN CITY WEST |
Zip Code Of The Provider |
853755284 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
6743 |
Number Of Medicare Beneficiaries |
2723 |
Total Submitted Charge Amount |
816739.2 |
Total Medicare Allowed Amount |
393917.95 |
Total Medicare Payment Amount |
273399.8 |
Total Medicare Standardized Payment Amount |
276223.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
1944 |
Number Of Medicare Beneficiaries With Drug Services |
241 |
Total Drug Submitted ChargeAmount |
21716.2 |
Total Drug Medicare AllowedAmount |
13436.09 |
Total Drug Medicare PaymentAmount |
10417.18 |
Total Drug Medicare Standardized Payment Amount |
10417.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
4799 |
Number Of Medicare Beneficiaries With Medical Services |
2723 |
Total Medical Submitted Charge Amount |
795023 |
Total Medical Medicare Allowed Amount |
380481.86 |
Total Medical Medicare Payment Amount |
262982.62 |
Total Medical Medicare Standardized Payment Amount |
265806.73 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
1041 |
Number Of Beneficiaries Age 75 to 84 |
1040 |
Number Of Beneficiaries Age Greater 84 |
601 |
Number Of Female Beneficiaries |
1561 |
Number Of Male Beneficiaries |
1162 |
Number Of Non Hispanic White Beneficiaries |
2606 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
2706 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.088 |