National Provider Identifier [NPI]: |
1053350728 |
Last Name Of The Provider |
INSEL |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6369 E TANQUE VERDE RD |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857153850 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
5149 |
Number Of Medicare Beneficiaries |
470 |
Total Submitted Charge Amount |
280584.5 |
Total Medicare Allowed Amount |
145379.79 |
Total Medicare Payment Amount |
115683.62 |
Total Medicare Standardized Payment Amount |
117907.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
725 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
3955.5 |
Total Drug Medicare AllowedAmount |
1504.43 |
Total Drug Medicare PaymentAmount |
1307.7 |
Total Drug Medicare Standardized Payment Amount |
1307.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
4424 |
Number Of Medicare Beneficiaries With Medical Services |
470 |
Total Medical Submitted Charge Amount |
276629 |
Total Medical Medicare Allowed Amount |
143875.36 |
Total Medical Medicare Payment Amount |
114375.92 |
Total Medical Medicare Standardized Payment Amount |
116600.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
317 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
415 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
451 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0708 |