National Provider Identifier [NPI]: |
1740253434 |
Last Name Of The Provider |
RUTTINGER |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14961 W BELL RD |
Street Address 2 Of The Provider |
SUITE 125 |
City Of The Provider |
SURPRISE |
Zip Code Of The Provider |
853743200 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
5838 |
Number Of Medicare Beneficiaries |
489 |
Total Submitted Charge Amount |
464842 |
Total Medicare Allowed Amount |
333869.16 |
Total Medicare Payment Amount |
247438.48 |
Total Medicare Standardized Payment Amount |
250639.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
401 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
4652 |
Total Drug Medicare AllowedAmount |
861.98 |
Total Drug Medicare PaymentAmount |
617.6 |
Total Drug Medicare Standardized Payment Amount |
617.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
5437 |
Number Of Medicare Beneficiaries With Medical Services |
489 |
Total Medical Submitted Charge Amount |
460190 |
Total Medical Medicare Allowed Amount |
333007.18 |
Total Medical Medicare Payment Amount |
246820.88 |
Total Medical Medicare Standardized Payment Amount |
250021.91 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
278 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
223 |
Number Of Male Beneficiaries |
266 |
Number Of Non Hispanic White Beneficiaries |
457 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
0 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1518 |