National Provider Identifier [NPI]: |
1932171618 |
Last Name Of The Provider |
LLOYD |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 AINSWORTH DR STE 115 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRESCOTT |
Zip Code Of The Provider |
863051667 |
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 |
231 |
Number Of Services |
18867 |
Number Of Medicare Beneficiaries |
4806 |
Total Submitted Charge Amount |
1749648.98 |
Total Medicare Allowed Amount |
483057.23 |
Total Medicare Payment Amount |
369179.19 |
Total Medicare Standardized Payment Amount |
376892.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
10237 |
Number Of Medicare Beneficiaries With Drug Services |
176 |
Total Drug Submitted ChargeAmount |
14355.98 |
Total Drug Medicare AllowedAmount |
3745.26 |
Total Drug Medicare PaymentAmount |
2704.21 |
Total Drug Medicare Standardized Payment Amount |
2704.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
227 |
Number Of Medical Services |
8630 |
Number Of Medicare Beneficiaries With Medical Services |
4806 |
Total Medical Submitted Charge Amount |
1735293 |
Total Medical Medicare Allowed Amount |
479311.97 |
Total Medical Medicare Payment Amount |
366474.98 |
Total Medical Medicare Standardized Payment Amount |
374188.57 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
360 |
Number Of Beneficiaries Age 65 to 74 |
2124 |
Number Of Beneficiaries Age 75 to 84 |
1666 |
Number Of Beneficiaries Age Greater 84 |
656 |
Number Of Female Beneficiaries |
2954 |
Number Of Male Beneficiaries |
1852 |
Number Of Non Hispanic White Beneficiaries |
4514 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
174 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
57 |
Number Of Beneficiaries With Medicare Only Entitlement |
4351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
455 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.229 |