National Provider Identifier [NPI]: |
1639115561 |
Last Name Of The Provider |
JHAVER |
First Name Of The Provider |
MEGAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1900 W FRYE RD |
Street Address 2 Of The Provider |
SUITE #1 |
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852246235 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
5255 |
Number Of Medicare Beneficiaries |
737 |
Total Submitted Charge Amount |
702931.89 |
Total Medicare Allowed Amount |
487939.13 |
Total Medicare Payment Amount |
366230.48 |
Total Medicare Standardized Payment Amount |
372275.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
85 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
693.43 |
Total Drug Medicare AllowedAmount |
155.84 |
Total Drug Medicare PaymentAmount |
121.28 |
Total Drug Medicare Standardized Payment Amount |
121.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
5170 |
Number Of Medicare Beneficiaries With Medical Services |
737 |
Total Medical Submitted Charge Amount |
702238.46 |
Total Medical Medicare Allowed Amount |
487783.29 |
Total Medical Medicare Payment Amount |
366109.2 |
Total Medical Medicare Standardized Payment Amount |
372153.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
228 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
498 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
667 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
721 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0205 |