National Provider Identifier [NPI]: |
1952375362 |
Last Name Of The Provider |
BLOOMBERG |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6301 S MCCLINTOCK DR |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
TEMPE |
Zip Code Of The Provider |
852833392 |
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 |
126 |
Number Of Services |
15966 |
Number Of Medicare Beneficiaries |
1124 |
Total Submitted Charge Amount |
843436.5 |
Total Medicare Allowed Amount |
680605.25 |
Total Medicare Payment Amount |
511404.21 |
Total Medicare Standardized Payment Amount |
547586.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
28 |
Number Of Drug Services |
2620 |
Number Of Medicare Beneficiaries With Drug Services |
515 |
Total Drug Submitted ChargeAmount |
85257.42 |
Total Drug Medicare AllowedAmount |
29871.69 |
Total Drug Medicare PaymentAmount |
27732.77 |
Total Drug Medicare Standardized Payment Amount |
27732.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
13346 |
Number Of Medicare Beneficiaries With Medical Services |
1124 |
Total Medical Submitted Charge Amount |
758179.08 |
Total Medical Medicare Allowed Amount |
650733.56 |
Total Medical Medicare Payment Amount |
483671.44 |
Total Medical Medicare Standardized Payment Amount |
519854.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
493 |
Number Of Beneficiaries Age 75 to 84 |
395 |
Number Of Beneficiaries Age Greater 84 |
205 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
517 |
Number Of Non Hispanic White Beneficiaries |
1025 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1104 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0791 |