National Provider Identifier [NPI]: |
1184676561 |
Last Name Of The Provider |
SARNA |
First Name Of The Provider |
KRISTINE |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2060 W WHISPERING WIND DR |
Street Address 2 Of The Provider |
STE 173 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850852867 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
822 |
Number Of Medicare Beneficiaries |
227 |
Total Submitted Charge Amount |
121844 |
Total Medicare Allowed Amount |
67942.02 |
Total Medicare Payment Amount |
46362.45 |
Total Medicare Standardized Payment Amount |
48123.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
816 |
Total Drug Medicare AllowedAmount |
169.89 |
Total Drug Medicare PaymentAmount |
152.39 |
Total Drug Medicare Standardized Payment Amount |
152.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
780 |
Number Of Medicare Beneficiaries With Medical Services |
227 |
Total Medical Submitted Charge Amount |
121028 |
Total Medical Medicare Allowed Amount |
67772.13 |
Total Medical Medicare Payment Amount |
46210.06 |
Total Medical Medicare Standardized Payment Amount |
47970.88 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
41 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
153 |
Number Of Male Beneficiaries |
74 |
Number Of Non Hispanic White Beneficiaries |
211 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
215 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7416 |