National Provider Identifier [NPI]: |
1073784724 |
Last Name Of The Provider |
BATRES |
First Name Of The Provider |
YASIR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
116 N LINDSAY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MESA |
Zip Code Of The Provider |
852139201 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
1133 |
Number Of Medicare Beneficiaries |
128 |
Total Submitted Charge Amount |
185117 |
Total Medicare Allowed Amount |
141789.71 |
Total Medicare Payment Amount |
105631.32 |
Total Medicare Standardized Payment Amount |
108508.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
220 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
15835 |
Total Drug Medicare AllowedAmount |
11454.39 |
Total Drug Medicare PaymentAmount |
8603.54 |
Total Drug Medicare Standardized Payment Amount |
8603.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
913 |
Number Of Medicare Beneficiaries With Medical Services |
128 |
Total Medical Submitted Charge Amount |
169282 |
Total Medical Medicare Allowed Amount |
130335.32 |
Total Medical Medicare Payment Amount |
97027.78 |
Total Medical Medicare Standardized Payment Amount |
99904.57 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
28 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
55 |
Number Of Male Beneficiaries |
73 |
Number Of Non Hispanic White Beneficiaries |
92 |
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 |
99 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6203 |