Medicare Facts for Dr. Alphonse M. Ambrosia, DO


National Provider Identifier [NPI]: 1598736126
Last Name Of The Provider AMBROSIA
First Name Of The Provider ALPHONSE
Middle Initial Of The Provider
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6116 E ARBOR AVE
Street Address 2 Of The Provider SUITE 112
City Of The Provider MESA
Zip Code Of The Provider 852066107
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 119
Number Of Services 6333
Number Of Medicare Beneficiaries 1063
Total Submitted Charge Amount 1340343
Total Medicare Allowed Amount 657363.01
Total Medicare Payment Amount 491037.53
Total Medicare Standardized Payment Amount 499395.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 523
Number Of Medicare Beneficiaries With Drug Services 137
Total Drug Submitted ChargeAmount 53154
Total Drug Medicare AllowedAmount 26692.93
Total Drug Medicare PaymentAmount 20497.3
Total Drug Medicare Standardized Payment Amount 20497.3
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 115
Number Of Medical Services 5810
Number Of Medicare Beneficiaries With Medical Services 1063
Total Medical Submitted Charge Amount 1287189
Total Medical Medicare Allowed Amount 630670.08
Total Medical Medicare Payment Amount 470540.23
Total Medical Medicare Standardized Payment Amount 478898.22
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 53
Number Of Beneficiaries Age 65 to 74 455
Number Of Beneficiaries Age 75 to 84 383
Number Of Beneficiaries Age Greater 84 172
Number Of Female Beneficiaries 541
Number Of Male Beneficiaries 522
Number Of Non Hispanic White Beneficiaries 976
Number Of Black or African American Beneficiaries 22
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 44
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1007
Number Of Beneficiaries With Medicare Medicaid Entitlement 56
Percent Of With Atrial Fibrillation 30
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 8
Percent Of With Cancer 12
Percent Of With Heart Failure 36
Percent Of With Chronic Kidney Disease 37
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 17
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 70
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.5202

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