National Provider Identifier [NPI]: |
1477518041 |
Last Name Of The Provider |
BICHLER |
First Name Of The Provider |
TIMOTHY |
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 |
9225 N. 3RD ST. |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850202439 |
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 |
40 |
Number Of Services |
3233 |
Number Of Medicare Beneficiaries |
809 |
Total Submitted Charge Amount |
600931 |
Total Medicare Allowed Amount |
318131.99 |
Total Medicare Payment Amount |
244209.12 |
Total Medicare Standardized Payment Amount |
247756.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
49 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
925 |
Total Drug Medicare AllowedAmount |
86.4 |
Total Drug Medicare PaymentAmount |
64.47 |
Total Drug Medicare Standardized Payment Amount |
64.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3184 |
Number Of Medicare Beneficiaries With Medical Services |
809 |
Total Medical Submitted Charge Amount |
600006 |
Total Medical Medicare Allowed Amount |
318045.59 |
Total Medical Medicare Payment Amount |
244144.65 |
Total Medical Medicare Standardized Payment Amount |
247691.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
112 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
159 |
Number Of Female Beneficiaries |
473 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
699 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
656 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
28 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
60 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.3154 |