National Provider Identifier [NPI]: |
1902805880 |
Last Name Of The Provider |
SHECHTER |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6750 E BAYWOOD AVE # 301 |
Street Address 2 Of The Provider |
|
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 |
67 |
Number Of Services |
4256 |
Number Of Medicare Beneficiaries |
1359 |
Total Submitted Charge Amount |
748039 |
Total Medicare Allowed Amount |
369221.06 |
Total Medicare Payment Amount |
281601.49 |
Total Medicare Standardized Payment Amount |
285095.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
308 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
22295 |
Total Drug Medicare AllowedAmount |
10810.99 |
Total Drug Medicare PaymentAmount |
8475.72 |
Total Drug Medicare Standardized Payment Amount |
8475.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
3948 |
Number Of Medicare Beneficiaries With Medical Services |
1359 |
Total Medical Submitted Charge Amount |
725744 |
Total Medical Medicare Allowed Amount |
358410.07 |
Total Medical Medicare Payment Amount |
273125.77 |
Total Medical Medicare Standardized Payment Amount |
276620.01 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
586 |
Number Of Beneficiaries Age 75 to 84 |
459 |
Number Of Beneficiaries Age Greater 84 |
218 |
Number Of Female Beneficiaries |
655 |
Number Of Male Beneficiaries |
704 |
Number Of Non Hispanic White Beneficiaries |
1244 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1267 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
41 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.6347 |