National Provider Identifier [NPI]: |
1518906205 |
Last Name Of The Provider |
CARR |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19829 N 27TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850274001 |
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 |
180 |
Number Of Services |
3577 |
Number Of Medicare Beneficiaries |
2650 |
Total Submitted Charge Amount |
408609.73 |
Total Medicare Allowed Amount |
101153.42 |
Total Medicare Payment Amount |
76259 |
Total Medicare Standardized Payment Amount |
77180.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
180 |
Number Of Medical Services |
3577 |
Number Of Medicare Beneficiaries With Medical Services |
2650 |
Total Medical Submitted Charge Amount |
408609.73 |
Total Medical Medicare Allowed Amount |
101153.42 |
Total Medical Medicare Payment Amount |
76259 |
Total Medical Medicare Standardized Payment Amount |
77180.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
360 |
Number Of Beneficiaries Age 65 to 74 |
1059 |
Number Of Beneficiaries Age 75 to 84 |
823 |
Number Of Beneficiaries Age Greater 84 |
408 |
Number Of Female Beneficiaries |
1508 |
Number Of Male Beneficiaries |
1142 |
Number Of Non Hispanic White Beneficiaries |
2117 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
311 |
Number Of American Indian Alaska Native Beneficiaries |
112 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2077 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
573 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.609 |