Medicare Facts for Dr. Melvin J. Clark, MD


National Provider Identifier [NPI]: 1093704751
Last Name Of The Provider CLARK
First Name Of The Provider MELVIN
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4212 N 16TH ST
Street Address 2 Of The Provider
City Of The Provider PHOENIX
Zip Code Of The Provider 850165319
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 21
Number Of Services 526
Number Of Medicare Beneficiaries 223
Total Submitted Charge Amount 375613.29
Total Medicare Allowed Amount 89948.32
Total Medicare Payment Amount 69344.82
Total Medicare Standardized Payment Amount 69870.03
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 21
Number Of Medical Services 526
Number Of Medicare Beneficiaries With Medical Services 223
Total Medical Submitted Charge Amount 375613.29
Total Medical Medicare Allowed Amount 89948.32
Total Medical Medicare Payment Amount 69344.82
Total Medical Medicare Standardized Payment Amount 69870.03
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 39
Number Of Beneficiaries Age 65 to 74 95
Number Of Beneficiaries Age 75 to 84 78
Number Of Beneficiaries Age Greater 84 11
Number Of Female Beneficiaries 141
Number Of Male Beneficiaries 82
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Only Entitlement 120
Number Of Beneficiaries With Medicare Medicaid Entitlement 103
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 10
Percent Of With Cancer
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 13
Percent Of With Diabetes 67
Percent Of With Hyperlipidemia 43
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.8116

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