National Provider Identifier [NPI]: |
1609942598 |
Last Name Of The Provider |
BENDER |
First Name Of The Provider |
ARIANNA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D, |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 W HAGUE RD |
Street Address 2 Of The Provider |
STE 310 |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799025814 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
2004 |
Number Of Medicare Beneficiaries |
164 |
Total Submitted Charge Amount |
262187.44 |
Total Medicare Allowed Amount |
144074.53 |
Total Medicare Payment Amount |
109022.99 |
Total Medicare Standardized Payment Amount |
115670.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
8139.44 |
Total Drug Medicare AllowedAmount |
4895.09 |
Total Drug Medicare PaymentAmount |
4570.54 |
Total Drug Medicare Standardized Payment Amount |
4570.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1826 |
Number Of Medicare Beneficiaries With Medical Services |
164 |
Total Medical Submitted Charge Amount |
254048 |
Total Medical Medicare Allowed Amount |
139179.44 |
Total Medical Medicare Payment Amount |
104452.45 |
Total Medical Medicare Standardized Payment Amount |
111100 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
55 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
108 |
Number Of Male Beneficiaries |
56 |
Number Of Non Hispanic White Beneficiaries |
129 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
34 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4892 |