National Provider Identifier [NPI]: |
1821181785 |
Last Name Of The Provider |
CUMMINGS |
First Name Of The Provider |
KRISTOPHER |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13400 E SHEA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852595452 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
5177 |
Number Of Medicare Beneficiaries |
3138 |
Total Submitted Charge Amount |
604488 |
Total Medicare Allowed Amount |
128711.41 |
Total Medicare Payment Amount |
99368.06 |
Total Medicare Standardized Payment Amount |
102024.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
5177 |
Number Of Medicare Beneficiaries With Medical Services |
3138 |
Total Medical Submitted Charge Amount |
604488 |
Total Medical Medicare Allowed Amount |
128711.41 |
Total Medical Medicare Payment Amount |
99368.06 |
Total Medical Medicare Standardized Payment Amount |
102024.16 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
1058 |
Number Of Beneficiaries Age 65 to 74 |
1091 |
Number Of Beneficiaries Age 75 to 84 |
666 |
Number Of Beneficiaries Age Greater 84 |
323 |
Number Of Female Beneficiaries |
1664 |
Number Of Male Beneficiaries |
1474 |
Number Of Non Hispanic White Beneficiaries |
2150 |
Number Of Black or African American Beneficiaries |
892 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1973 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1165 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.4851 |