National Provider Identifier [NPI]: |
1225027279 |
Last Name Of The Provider |
FROHNA |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2323 W ROSE GARDEN LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850272530 |
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 |
159 |
Number Of Services |
38471 |
Number Of Medicare Beneficiaries |
2712 |
Total Submitted Charge Amount |
2967522.2 |
Total Medicare Allowed Amount |
784466.34 |
Total Medicare Payment Amount |
598081.59 |
Total Medicare Standardized Payment Amount |
613620.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
33975 |
Number Of Medicare Beneficiaries With Drug Services |
431 |
Total Drug Submitted ChargeAmount |
68117.2 |
Total Drug Medicare AllowedAmount |
10279.23 |
Total Drug Medicare PaymentAmount |
8012.88 |
Total Drug Medicare Standardized Payment Amount |
8012.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
4496 |
Number Of Medicare Beneficiaries With Medical Services |
2712 |
Total Medical Submitted Charge Amount |
2899405 |
Total Medical Medicare Allowed Amount |
774187.11 |
Total Medical Medicare Payment Amount |
590068.71 |
Total Medical Medicare Standardized Payment Amount |
605607.97 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
397 |
Number Of Beneficiaries Age 65 to 74 |
1370 |
Number Of Beneficiaries Age 75 to 84 |
717 |
Number Of Beneficiaries Age Greater 84 |
228 |
Number Of Female Beneficiaries |
1581 |
Number Of Male Beneficiaries |
1131 |
Number Of Non Hispanic White Beneficiaries |
2178 |
Number Of Black or African American Beneficiaries |
119 |
Number Of AsianPacific Islander Beneficiaries |
58 |
Number Of Hispanic Beneficiaries |
291 |
Number Of American Indian Alaska Native Beneficiaries |
26 |
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
2285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
427 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5011 |