National Provider Identifier [NPI]: |
1013985688 |
Last Name Of The Provider |
CHARNEY |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10401 W THUNDERBIRD BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SUN CITY |
Zip Code Of The Provider |
853513004 |
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 |
264 |
Number Of Services |
150016 |
Number Of Medicare Beneficiaries |
13366 |
Total Submitted Charge Amount |
5084035.86 |
Total Medicare Allowed Amount |
1591553.58 |
Total Medicare Payment Amount |
1237311.13 |
Total Medicare Standardized Payment Amount |
1259105.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
121434 |
Number Of Medicare Beneficiaries With Drug Services |
1138 |
Total Drug Submitted ChargeAmount |
120903 |
Total Drug Medicare AllowedAmount |
28124.02 |
Total Drug Medicare PaymentAmount |
22003.89 |
Total Drug Medicare Standardized Payment Amount |
22003.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
261 |
Number Of Medical Services |
28582 |
Number Of Medicare Beneficiaries With Medical Services |
13366 |
Total Medical Submitted Charge Amount |
4963132.86 |
Total Medical Medicare Allowed Amount |
1563429.56 |
Total Medical Medicare Payment Amount |
1215307.24 |
Total Medical Medicare Standardized Payment Amount |
1237101.74 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
398 |
Number Of Beneficiaries Age 65 to 74 |
5082 |
Number Of Beneficiaries Age 75 to 84 |
5100 |
Number Of Beneficiaries Age Greater 84 |
2786 |
Number Of Female Beneficiaries |
8489 |
Number Of Male Beneficiaries |
4877 |
Number Of Non Hispanic White Beneficiaries |
12557 |
Number Of Black or African American Beneficiaries |
240 |
Number Of AsianPacific Islander Beneficiaries |
92 |
Number Of Hispanic Beneficiaries |
301 |
Number Of American Indian Alaska Native Beneficiaries |
35 |
Number Of Beneficiaries With Race Not Else where Classified |
141 |
Number Of Beneficiaries With Medicare Only Entitlement |
12903 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
463 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2422 |