National Provider Identifier [NPI]: |
1932159357 |
Last Name Of The Provider |
ROBERTS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2222 E HIGHLAND AVE |
Street Address 2 Of The Provider |
STE 400 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850164872 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
99096 |
Number Of Medicare Beneficiaries |
1083 |
Total Submitted Charge Amount |
8252463 |
Total Medicare Allowed Amount |
2460856.54 |
Total Medicare Payment Amount |
1919148.84 |
Total Medicare Standardized Payment Amount |
1915554.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
88 |
Number Of Drug Services |
81883 |
Number Of Medicare Beneficiaries With Drug Services |
302 |
Total Drug Submitted ChargeAmount |
6150847 |
Total Drug Medicare AllowedAmount |
1784172.19 |
Total Drug Medicare PaymentAmount |
1382554.19 |
Total Drug Medicare Standardized Payment Amount |
1382554.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
17213 |
Number Of Medicare Beneficiaries With Medical Services |
1083 |
Total Medical Submitted Charge Amount |
2101616 |
Total Medical Medicare Allowed Amount |
676684.35 |
Total Medical Medicare Payment Amount |
536594.65 |
Total Medical Medicare Standardized Payment Amount |
532999.88 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
106 |
Number Of Beneficiaries Age 65 to 74 |
553 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
476 |
Number Of Non Hispanic White Beneficiaries |
915 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
968 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7874 |