National Provider Identifier [NPI]: |
1831188499 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
HAROLD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1125 E SOUTHERN AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852045045 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
267 |
Number Of Services |
9729 |
Number Of Medicare Beneficiaries |
3110 |
Total Submitted Charge Amount |
911017.36 |
Total Medicare Allowed Amount |
284048.12 |
Total Medicare Payment Amount |
218632.52 |
Total Medicare Standardized Payment Amount |
221993.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5123 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
10342 |
Total Drug Medicare AllowedAmount |
1187.64 |
Total Drug Medicare PaymentAmount |
931.13 |
Total Drug Medicare Standardized Payment Amount |
931.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
264 |
Number Of Medical Services |
4606 |
Number Of Medicare Beneficiaries With Medical Services |
3110 |
Total Medical Submitted Charge Amount |
900675.36 |
Total Medical Medicare Allowed Amount |
282860.48 |
Total Medical Medicare Payment Amount |
217701.39 |
Total Medical Medicare Standardized Payment Amount |
221062.26 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
349 |
Number Of Beneficiaries Age 65 to 74 |
1213 |
Number Of Beneficiaries Age 75 to 84 |
1010 |
Number Of Beneficiaries Age Greater 84 |
538 |
Number Of Female Beneficiaries |
1811 |
Number Of Male Beneficiaries |
1299 |
Number Of Non Hispanic White Beneficiaries |
2675 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
190 |
Number Of American Indian Alaska Native Beneficiaries |
81 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2677 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
433 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9798 |