Medicare Facts for Daniel L. Ballard


National Provider Identifier [NPI]: 1396795472
Last Name Of The Provider BALLARD
First Name Of The Provider DANIEL
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1003 WILLOW CREEK RD
Street Address 2 Of The Provider
City Of The Provider PRESCOTT
Zip Code Of The Provider 863011641
State Code Of The Provider AZ
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 25
Number Of Services 691
Number Of Medicare Beneficiaries 432
Total Submitted Charge Amount 371197
Total Medicare Allowed Amount 74238.95
Total Medicare Payment Amount 57351.39
Total Medicare Standardized Payment Amount 57616.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 691
Number Of Medicare Beneficiaries With Medical Services 432
Total Medical Submitted Charge Amount 371197
Total Medical Medicare Allowed Amount 74238.95
Total Medical Medicare Payment Amount 57351.39
Total Medical Medicare Standardized Payment Amount 57616.04
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 72
Number Of Beneficiaries Age 65 to 74 172
Number Of Beneficiaries Age 75 to 84 110
Number Of Beneficiaries Age Greater 84 78
Number Of Female Beneficiaries 230
Number Of Male Beneficiaries 202
Number Of Non Hispanic White Beneficiaries 365
Number Of Black or African American Beneficiaries 14
Number Of AsianPacific Islander Beneficiaries 11
Number Of Hispanic Beneficiaries 30
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 350
Number Of Beneficiaries With Medicare Medicaid Entitlement 82
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 21
Percent Of With Asthma 12
Percent Of With Cancer 14
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 31
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 47
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke 13
Average HCC Risk Score Of Beneficiaries 1.7676

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