National Provider Identifier [NPI]: |
1376571174 |
Last Name Of The Provider |
ECKERT |
First Name Of The Provider |
RUTH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6501 E GREENWAY PKWY |
Street Address 2 Of The Provider |
SUITE 160 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852542065 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1049 |
Number Of Medicare Beneficiaries |
172 |
Total Submitted Charge Amount |
118176 |
Total Medicare Allowed Amount |
91112.32 |
Total Medicare Payment Amount |
67058.01 |
Total Medicare Standardized Payment Amount |
69343.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
56 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
3746 |
Total Drug Medicare AllowedAmount |
2396.87 |
Total Drug Medicare PaymentAmount |
2341.66 |
Total Drug Medicare Standardized Payment Amount |
2341.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
993 |
Number Of Medicare Beneficiaries With Medical Services |
172 |
Total Medical Submitted Charge Amount |
114430 |
Total Medical Medicare Allowed Amount |
88715.45 |
Total Medical Medicare Payment Amount |
64716.35 |
Total Medical Medicare Standardized Payment Amount |
67001.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
35 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
149 |
Number Of Male Beneficiaries |
23 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
26 |
Percent Of With Diabetes |
6 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.6381 |