National Provider Identifier [NPI]: |
1285626374 |
Last Name Of The Provider |
FINBERG |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3815 E BELL RD |
Street Address 2 Of The Provider |
4400 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850322122 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
13492 |
Number Of Medicare Beneficiaries |
917 |
Total Submitted Charge Amount |
677098 |
Total Medicare Allowed Amount |
500913.15 |
Total Medicare Payment Amount |
372125.39 |
Total Medicare Standardized Payment Amount |
369179.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
32 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
1465 |
Total Drug Medicare AllowedAmount |
710.75 |
Total Drug Medicare PaymentAmount |
688.91 |
Total Drug Medicare Standardized Payment Amount |
688.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
13460 |
Number Of Medicare Beneficiaries With Medical Services |
917 |
Total Medical Submitted Charge Amount |
675633 |
Total Medical Medicare Allowed Amount |
500202.4 |
Total Medical Medicare Payment Amount |
371436.48 |
Total Medical Medicare Standardized Payment Amount |
368490.59 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
535 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
511 |
Number Of Male Beneficiaries |
406 |
Number Of Non Hispanic White Beneficiaries |
842 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
862 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
34 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2349 |