National Provider Identifier [NPI]: |
1902870173 |
Last Name Of The Provider |
WORISCHECK |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6007 E BASELINE ROAD |
Street Address 2 Of The Provider |
#105 |
City Of The Provider |
GILBERT |
Zip Code Of The Provider |
852345044 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
11086 |
Number Of Medicare Beneficiaries |
945 |
Total Submitted Charge Amount |
1022975.37 |
Total Medicare Allowed Amount |
412472.79 |
Total Medicare Payment Amount |
302506.42 |
Total Medicare Standardized Payment Amount |
306459.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
6271 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
220926 |
Total Drug Medicare AllowedAmount |
73836.21 |
Total Drug Medicare PaymentAmount |
54300.72 |
Total Drug Medicare Standardized Payment Amount |
54300.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
4815 |
Number Of Medicare Beneficiaries With Medical Services |
945 |
Total Medical Submitted Charge Amount |
802049.37 |
Total Medical Medicare Allowed Amount |
338636.58 |
Total Medical Medicare Payment Amount |
248205.7 |
Total Medical Medicare Standardized Payment Amount |
252159.27 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
333 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
731 |
Number Of Non Hispanic White Beneficiaries |
876 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
928 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0548 |