National Provider Identifier [NPI]: |
1053691238 |
Last Name Of The Provider |
SWIFT |
First Name Of The Provider |
TRAVIS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10494 W THUNDERBIRD BLVD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
SUN CITY |
Zip Code Of The Provider |
853513058 |
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 |
56 |
Number Of Services |
1826 |
Number Of Medicare Beneficiaries |
349 |
Total Submitted Charge Amount |
315876.5 |
Total Medicare Allowed Amount |
112011.04 |
Total Medicare Payment Amount |
84645.07 |
Total Medicare Standardized Payment Amount |
89209.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
804 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
115742.58 |
Total Drug Medicare AllowedAmount |
41124.46 |
Total Drug Medicare PaymentAmount |
31302.29 |
Total Drug Medicare Standardized Payment Amount |
31302.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1022 |
Number Of Medicare Beneficiaries With Medical Services |
349 |
Total Medical Submitted Charge Amount |
200133.92 |
Total Medical Medicare Allowed Amount |
70886.58 |
Total Medical Medicare Payment Amount |
53342.78 |
Total Medical Medicare Standardized Payment Amount |
57907.22 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
271 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4131 |