National Provider Identifier [NPI]: |
1437123775 |
Last Name Of The Provider |
TURLEY |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19636 N 27TH AVENUE |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
85027 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
15658 |
Number Of Medicare Beneficiaries |
887 |
Total Submitted Charge Amount |
3021427 |
Total Medicare Allowed Amount |
1058743.29 |
Total Medicare Payment Amount |
794026.56 |
Total Medicare Standardized Payment Amount |
675724.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
8980 |
Number Of Medicare Beneficiaries With Drug Services |
444 |
Total Drug Submitted ChargeAmount |
103213 |
Total Drug Medicare AllowedAmount |
20117.55 |
Total Drug Medicare PaymentAmount |
15717.32 |
Total Drug Medicare Standardized Payment Amount |
15717.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
6678 |
Number Of Medicare Beneficiaries With Medical Services |
887 |
Total Medical Submitted Charge Amount |
2918214 |
Total Medical Medicare Allowed Amount |
1038625.74 |
Total Medical Medicare Payment Amount |
778309.24 |
Total Medical Medicare Standardized Payment Amount |
660007.43 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
367 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
533 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
774 |
Number Of Black or African American Beneficiaries |
30 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
657 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
230 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3547 |