National Provider Identifier [NPI]: |
1801886932 |
Last Name Of The Provider |
PALMER |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 N SCOTTSDALE RD |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
85251 |
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 |
147 |
Number Of Services |
54287 |
Number Of Medicare Beneficiaries |
4517 |
Total Submitted Charge Amount |
2525398.1 |
Total Medicare Allowed Amount |
621312.97 |
Total Medicare Payment Amount |
452805.26 |
Total Medicare Standardized Payment Amount |
469185.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
46527 |
Number Of Medicare Beneficiaries With Drug Services |
445 |
Total Drug Submitted ChargeAmount |
94075.1 |
Total Drug Medicare AllowedAmount |
8961.34 |
Total Drug Medicare PaymentAmount |
7017.56 |
Total Drug Medicare Standardized Payment Amount |
7017.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
144 |
Number Of Medical Services |
7760 |
Number Of Medicare Beneficiaries With Medical Services |
4517 |
Total Medical Submitted Charge Amount |
2431323 |
Total Medical Medicare Allowed Amount |
612351.63 |
Total Medical Medicare Payment Amount |
445787.7 |
Total Medical Medicare Standardized Payment Amount |
462167.93 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
231 |
Number Of Beneficiaries Age 65 to 74 |
2080 |
Number Of Beneficiaries Age 75 to 84 |
1488 |
Number Of Beneficiaries Age Greater 84 |
718 |
Number Of Female Beneficiaries |
2565 |
Number Of Male Beneficiaries |
1952 |
Number Of Non Hispanic White Beneficiaries |
4202 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
44 |
Number Of Hispanic Beneficiaries |
112 |
Number Of American Indian Alaska Native Beneficiaries |
29 |
Number Of Beneficiaries With Race Not Else where Classified |
67 |
Number Of Beneficiaries With Medicare Only Entitlement |
4296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
221 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.351 |