National Provider Identifier [NPI]: |
1407890353 |
Last Name Of The Provider |
MORGAN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4444 N 32ND ST |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850183956 |
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 |
102 |
Number Of Services |
9142 |
Number Of Medicare Beneficiaries |
1531 |
Total Submitted Charge Amount |
2113941 |
Total Medicare Allowed Amount |
695287.88 |
Total Medicare Payment Amount |
527277.58 |
Total Medicare Standardized Payment Amount |
537686.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2293 |
Number Of Medicare Beneficiaries With Drug Services |
153 |
Total Drug Submitted ChargeAmount |
146930 |
Total Drug Medicare AllowedAmount |
29545.49 |
Total Drug Medicare PaymentAmount |
23147.8 |
Total Drug Medicare Standardized Payment Amount |
23147.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
6849 |
Number Of Medicare Beneficiaries With Medical Services |
1531 |
Total Medical Submitted Charge Amount |
1967011 |
Total Medical Medicare Allowed Amount |
665742.39 |
Total Medical Medicare Payment Amount |
504129.78 |
Total Medical Medicare Standardized Payment Amount |
514538.57 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
697 |
Number Of Beneficiaries Age 75 to 84 |
505 |
Number Of Beneficiaries Age Greater 84 |
217 |
Number Of Female Beneficiaries |
705 |
Number Of Male Beneficiaries |
826 |
Number Of Non Hispanic White Beneficiaries |
1329 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
48 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1389 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
142 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4571 |