National Provider Identifier [NPI]: |
1184613168 |
Last Name Of The Provider |
MOYER |
First Name Of The Provider |
ADRIAN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 N SCOTTSDALE RD |
Street Address 2 Of The Provider |
SUITE 130 |
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852515648 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
155 |
Number Of Services |
40590 |
Number Of Medicare Beneficiaries |
3191 |
Total Submitted Charge Amount |
2414278.64 |
Total Medicare Allowed Amount |
560052.26 |
Total Medicare Payment Amount |
415920.38 |
Total Medicare Standardized Payment Amount |
429556.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
35343 |
Number Of Medicare Beneficiaries With Drug Services |
397 |
Total Drug Submitted ChargeAmount |
73089.64 |
Total Drug Medicare AllowedAmount |
10797.74 |
Total Drug Medicare PaymentAmount |
8436.21 |
Total Drug Medicare Standardized Payment Amount |
8436.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
149 |
Number Of Medical Services |
5247 |
Number Of Medicare Beneficiaries With Medical Services |
3191 |
Total Medical Submitted Charge Amount |
2341189 |
Total Medical Medicare Allowed Amount |
549254.52 |
Total Medical Medicare Payment Amount |
407484.17 |
Total Medical Medicare Standardized Payment Amount |
421120.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
1583 |
Number Of Beneficiaries Age 75 to 84 |
957 |
Number Of Beneficiaries Age Greater 84 |
431 |
Number Of Female Beneficiaries |
1766 |
Number Of Male Beneficiaries |
1425 |
Number Of Non Hispanic White Beneficiaries |
2919 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
44 |
Number Of Beneficiaries With Race Not Else where Classified |
51 |
Number Of Beneficiaries With Medicare Only Entitlement |
2978 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3414 |