National Provider Identifier [NPI]: |
1710934823 |
Last Name Of The Provider |
HORTON |
First Name Of The Provider |
KARLA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
P.A. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2224 W NORTHERN AVE |
Street Address 2 Of The Provider |
D300 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850214928 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
3010 |
Number Of Medicare Beneficiaries |
491 |
Total Submitted Charge Amount |
221066.91 |
Total Medicare Allowed Amount |
148982.29 |
Total Medicare Payment Amount |
105436.62 |
Total Medicare Standardized Payment Amount |
135537.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
1720 |
Total Drug Medicare AllowedAmount |
9.9 |
Total Drug Medicare PaymentAmount |
7.77 |
Total Drug Medicare Standardized Payment Amount |
7.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
2967 |
Number Of Medicare Beneficiaries With Medical Services |
491 |
Total Medical Submitted Charge Amount |
219346.91 |
Total Medical Medicare Allowed Amount |
148972.39 |
Total Medical Medicare Payment Amount |
105428.85 |
Total Medical Medicare Standardized Payment Amount |
135529.29 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
458 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
463 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8476 |