National Provider Identifier [NPI]: |
1356318539 |
Last Name Of The Provider |
HEINRICHS |
First Name Of The Provider |
DUANE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6750 E BAYWOOD AVE |
Street Address 2 Of The Provider |
301 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852061749 |
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 |
66 |
Number Of Services |
5476 |
Number Of Medicare Beneficiaries |
1638 |
Total Submitted Charge Amount |
875898 |
Total Medicare Allowed Amount |
432673.55 |
Total Medicare Payment Amount |
324162.7 |
Total Medicare Standardized Payment Amount |
331710.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
333 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
35282 |
Total Drug Medicare AllowedAmount |
17583.91 |
Total Drug Medicare PaymentAmount |
13300.21 |
Total Drug Medicare Standardized Payment Amount |
13300.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
5143 |
Number Of Medicare Beneficiaries With Medical Services |
1637 |
Total Medical Submitted Charge Amount |
840616 |
Total Medical Medicare Allowed Amount |
415089.64 |
Total Medical Medicare Payment Amount |
310862.49 |
Total Medical Medicare Standardized Payment Amount |
318410.58 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
684 |
Number Of Beneficiaries Age 75 to 84 |
582 |
Number Of Beneficiaries Age Greater 84 |
273 |
Number Of Female Beneficiaries |
755 |
Number Of Male Beneficiaries |
883 |
Number Of Non Hispanic White Beneficiaries |
1501 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1550 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.4968 |