National Provider Identifier [NPI]: |
1831195478 |
Last Name Of The Provider |
SOMMERS |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3805 E BELL ROAD |
Street Address 2 Of The Provider |
SUITE 3100 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
85032 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
1961 |
Number Of Medicare Beneficiaries |
536 |
Total Submitted Charge Amount |
305731 |
Total Medicare Allowed Amount |
148118.66 |
Total Medicare Payment Amount |
108729.93 |
Total Medicare Standardized Payment Amount |
110333.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
64 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
7736 |
Total Drug Medicare AllowedAmount |
3388.17 |
Total Drug Medicare PaymentAmount |
2656.33 |
Total Drug Medicare Standardized Payment Amount |
2656.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1897 |
Number Of Medicare Beneficiaries With Medical Services |
536 |
Total Medical Submitted Charge Amount |
297995 |
Total Medical Medicare Allowed Amount |
144730.49 |
Total Medical Medicare Payment Amount |
106073.6 |
Total Medical Medicare Standardized Payment Amount |
107677.31 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
265 |
Number Of Non Hispanic White Beneficiaries |
481 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
467 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.6846 |