National Provider Identifier [NPI]: |
1952378804 |
Last Name Of The Provider |
CURLETTA |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1850 N CENTRAL AVE |
Street Address 2 Of The Provider |
SUITE1600 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850044633 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3562 |
Number Of Medicare Beneficiaries |
297 |
Total Submitted Charge Amount |
962442.52 |
Total Medicare Allowed Amount |
167369.04 |
Total Medicare Payment Amount |
125256.89 |
Total Medicare Standardized Payment Amount |
125244.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2150 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
81681.96 |
Total Drug Medicare AllowedAmount |
11033.04 |
Total Drug Medicare PaymentAmount |
6682.33 |
Total Drug Medicare Standardized Payment Amount |
6682.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1412 |
Number Of Medicare Beneficiaries With Medical Services |
297 |
Total Medical Submitted Charge Amount |
880760.56 |
Total Medical Medicare Allowed Amount |
156336 |
Total Medical Medicare Payment Amount |
118574.56 |
Total Medical Medicare Standardized Payment Amount |
118561.87 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
265 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3164 |