National Provider Identifier [NPI]: |
1740287135 |
Last Name Of The Provider |
SAWREY |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4444 N 32ND STREET |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850183956 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
5137 |
Number Of Medicare Beneficiaries |
1015 |
Total Submitted Charge Amount |
1172139.14 |
Total Medicare Allowed Amount |
391714.75 |
Total Medicare Payment Amount |
290045.58 |
Total Medicare Standardized Payment Amount |
296684.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
697 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
87681 |
Total Drug Medicare AllowedAmount |
17637.95 |
Total Drug Medicare PaymentAmount |
13661.63 |
Total Drug Medicare Standardized Payment Amount |
13661.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
4440 |
Number Of Medicare Beneficiaries With Medical Services |
1015 |
Total Medical Submitted Charge Amount |
1084458.14 |
Total Medical Medicare Allowed Amount |
374076.8 |
Total Medical Medicare Payment Amount |
276383.95 |
Total Medical Medicare Standardized Payment Amount |
283022.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
457 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
149 |
Number Of Female Beneficiaries |
440 |
Number Of Male Beneficiaries |
575 |
Number Of Non Hispanic White Beneficiaries |
879 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
37 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
931 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5301 |