National Provider Identifier [NPI]: |
1356327472 |
Last Name Of The Provider |
KAWASHIMA |
First Name Of The Provider |
AKIRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13400 E SHEA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852595452 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
53074 |
Number Of Medicare Beneficiaries |
1103 |
Total Submitted Charge Amount |
403480.58 |
Total Medicare Allowed Amount |
278080.33 |
Total Medicare Payment Amount |
211015.44 |
Total Medicare Standardized Payment Amount |
229255.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
51310 |
Number Of Medicare Beneficiaries With Drug Services |
427 |
Total Drug Submitted ChargeAmount |
20762.17 |
Total Drug Medicare AllowedAmount |
17895.32 |
Total Drug Medicare PaymentAmount |
12746.99 |
Total Drug Medicare Standardized Payment Amount |
12746.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
1764 |
Number Of Medicare Beneficiaries With Medical Services |
1102 |
Total Medical Submitted Charge Amount |
382718.41 |
Total Medical Medicare Allowed Amount |
260185.01 |
Total Medical Medicare Payment Amount |
198268.45 |
Total Medical Medicare Standardized Payment Amount |
216508.79 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
483 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
418 |
Number Of Male Beneficiaries |
685 |
Number Of Non Hispanic White Beneficiaries |
1035 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
966 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
137 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
28 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5994 |