National Provider Identifier [NPI]: |
1609872209 |
Last Name Of The Provider |
ANDREWS |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13838 S 46TH PL |
Street Address 2 Of The Provider |
STE 125 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850447802 |
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 |
31 |
Number Of Services |
736 |
Number Of Medicare Beneficiaries |
240 |
Total Submitted Charge Amount |
81605 |
Total Medicare Allowed Amount |
65759.16 |
Total Medicare Payment Amount |
54347.11 |
Total Medicare Standardized Payment Amount |
55655.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
10985 |
Total Drug Medicare AllowedAmount |
7191.75 |
Total Drug Medicare PaymentAmount |
7015.02 |
Total Drug Medicare Standardized Payment Amount |
7015.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
636 |
Number Of Medicare Beneficiaries With Medical Services |
239 |
Total Medical Submitted Charge Amount |
70620 |
Total Medical Medicare Allowed Amount |
58567.41 |
Total Medical Medicare Payment Amount |
47332.09 |
Total Medical Medicare Standardized Payment Amount |
48640.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
59 |
Number Of Non Hispanic White Beneficiaries |
218 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
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 |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7197 |