Medicare Facts for David Arthurs, QMHA


National Provider Identifier [NPI]: 1932153111
Last Name Of The Provider ARTHURS
First Name Of The Provider DAVID
Middle Initial Of The Provider A
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 81-6587 MAMALAHOA HWY # C201
Street Address 2 Of The Provider
City Of The Provider KEALAKEKUA
Zip Code Of The Provider 967508133
State Code Of The Provider HI
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 80
Number Of Services 1413
Number Of Medicare Beneficiaries 191
Total Submitted Charge Amount 142752.08
Total Medicare Allowed Amount 109419.02
Total Medicare Payment Amount 76715.13
Total Medicare Standardized Payment Amount 77455.93
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 156
Number Of Medicare Beneficiaries With Drug Services 65
Total Drug Submitted ChargeAmount 3272.04
Total Drug Medicare AllowedAmount 888.9
Total Drug Medicare PaymentAmount 833.37
Total Drug Medicare Standardized Payment Amount 833.37
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 71
Number Of Medical Services 1257
Number Of Medicare Beneficiaries With Medical Services 190
Total Medical Submitted Charge Amount 139480.04
Total Medical Medicare Allowed Amount 108530.12
Total Medical Medicare Payment Amount 75881.76
Total Medical Medicare Standardized Payment Amount 76622.56
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 105
Number Of Beneficiaries Age 75 to 84 43
Number Of Beneficiaries Age Greater 84 17
Number Of Female Beneficiaries 91
Number Of Male Beneficiaries 100
Number Of Non Hispanic White Beneficiaries 148
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 22
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 167
Number Of Beneficiaries With Medicare Medicaid Entitlement 24
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 6
Percent Of With Cancer
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 14
Percent Of With Diabetes 21
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8491

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