National Provider Identifier [NPI]: |
1265443113 |
Last Name Of The Provider |
VASZAR |
First Name Of The Provider |
LASZLO |
Middle Initial Of The Provider |
T |
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 |
852595404 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
2207 |
Number Of Medicare Beneficiaries |
1067 |
Total Submitted Charge Amount |
180689.21 |
Total Medicare Allowed Amount |
143572.44 |
Total Medicare Payment Amount |
106605.45 |
Total Medicare Standardized Payment Amount |
115349.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
2720.04 |
Total Drug Medicare AllowedAmount |
2392.85 |
Total Drug Medicare PaymentAmount |
1840.74 |
Total Drug Medicare Standardized Payment Amount |
1840.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2179 |
Number Of Medicare Beneficiaries With Medical Services |
1067 |
Total Medical Submitted Charge Amount |
177969.17 |
Total Medical Medicare Allowed Amount |
141179.59 |
Total Medical Medicare Payment Amount |
104764.71 |
Total Medical Medicare Standardized Payment Amount |
113508.39 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
494 |
Number Of Beneficiaries Age 75 to 84 |
381 |
Number Of Beneficiaries Age Greater 84 |
111 |
Number Of Female Beneficiaries |
531 |
Number Of Male Beneficiaries |
536 |
Number Of Non Hispanic White Beneficiaries |
985 |
Number Of Black or African American Beneficiaries |
16 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1030 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5435 |