National Provider Identifier [NPI]: |
1962443622 |
Last Name Of The Provider |
JOHNS |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4400 N 32ND ST STE 200 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850183965 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
8121 |
Number Of Medicare Beneficiaries |
627 |
Total Submitted Charge Amount |
227895.78 |
Total Medicare Allowed Amount |
197556.46 |
Total Medicare Payment Amount |
147720.06 |
Total Medicare Standardized Payment Amount |
158464.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
423 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
5735.59 |
Total Drug Medicare AllowedAmount |
3645.87 |
Total Drug Medicare PaymentAmount |
3425.07 |
Total Drug Medicare Standardized Payment Amount |
3425.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
7698 |
Number Of Medicare Beneficiaries With Medical Services |
627 |
Total Medical Submitted Charge Amount |
222160.19 |
Total Medical Medicare Allowed Amount |
193910.59 |
Total Medical Medicare Payment Amount |
144294.99 |
Total Medical Medicare Standardized Payment Amount |
155038.94 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
260 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
323 |
Number Of Male Beneficiaries |
304 |
Number Of Non Hispanic White Beneficiaries |
586 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
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 |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9259 |