National Provider Identifier [NPI]: |
1134153851 |
Last Name Of The Provider |
GRIFFIN |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3633 CROSSINGS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PRESCOTT |
Zip Code Of The Provider |
863057101 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
21741 |
Number Of Medicare Beneficiaries |
3391 |
Total Submitted Charge Amount |
1300224.24 |
Total Medicare Allowed Amount |
800883.64 |
Total Medicare Payment Amount |
646588.44 |
Total Medicare Standardized Payment Amount |
656113.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
10027 |
Number Of Medicare Beneficiaries With Drug Services |
1320 |
Total Drug Submitted ChargeAmount |
308275.66 |
Total Drug Medicare AllowedAmount |
221190.56 |
Total Drug Medicare PaymentAmount |
186049.06 |
Total Drug Medicare Standardized Payment Amount |
186049.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
11714 |
Number Of Medicare Beneficiaries With Medical Services |
3390 |
Total Medical Submitted Charge Amount |
991948.58 |
Total Medical Medicare Allowed Amount |
579693.08 |
Total Medical Medicare Payment Amount |
460539.38 |
Total Medical Medicare Standardized Payment Amount |
470064.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
1704 |
Number Of Beneficiaries Age 75 to 84 |
1184 |
Number Of Beneficiaries Age Greater 84 |
420 |
Number Of Female Beneficiaries |
2520 |
Number Of Male Beneficiaries |
871 |
Number Of Non Hispanic White Beneficiaries |
3247 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
3319 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
32 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8492 |