National Provider Identifier [NPI]: |
1134260565 |
Last Name Of The Provider |
MCPHERSON |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
350 W THOMAS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850134409 |
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 |
201 |
Number Of Services |
5929 |
Number Of Medicare Beneficiaries |
4237 |
Total Submitted Charge Amount |
731671 |
Total Medicare Allowed Amount |
239168.72 |
Total Medicare Payment Amount |
184308.34 |
Total Medicare Standardized Payment Amount |
194050.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
201 |
Number Of Medical Services |
5929 |
Number Of Medicare Beneficiaries With Medical Services |
4237 |
Total Medical Submitted Charge Amount |
731671 |
Total Medical Medicare Allowed Amount |
239168.72 |
Total Medical Medicare Payment Amount |
184308.34 |
Total Medical Medicare Standardized Payment Amount |
194050.99 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
923 |
Number Of Beneficiaries Age 65 to 74 |
1523 |
Number Of Beneficiaries Age 75 to 84 |
1182 |
Number Of Beneficiaries Age Greater 84 |
609 |
Number Of Female Beneficiaries |
2389 |
Number Of Male Beneficiaries |
1848 |
Number Of Non Hispanic White Beneficiaries |
3762 |
Number Of Black or African American Beneficiaries |
244 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
146 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
3241 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
996 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6767 |