National Provider Identifier [NPI]: |
1376561688 |
Last Name Of The Provider |
WARNER |
First Name Of The Provider |
CLAUDE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
577 S RIVER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ST GEORGE |
Zip Code Of The Provider |
847902097 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4865 |
Number Of Medicare Beneficiaries |
1170 |
Total Submitted Charge Amount |
533156 |
Total Medicare Allowed Amount |
350837.45 |
Total Medicare Payment Amount |
256789.17 |
Total Medicare Standardized Payment Amount |
266179.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1469 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
34921 |
Total Drug Medicare AllowedAmount |
26282.25 |
Total Drug Medicare PaymentAmount |
22687.58 |
Total Drug Medicare Standardized Payment Amount |
22687.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3396 |
Number Of Medicare Beneficiaries With Medical Services |
1170 |
Total Medical Submitted Charge Amount |
498235 |
Total Medical Medicare Allowed Amount |
324555.2 |
Total Medical Medicare Payment Amount |
234101.59 |
Total Medical Medicare Standardized Payment Amount |
243491.91 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
391 |
Number Of Beneficiaries Age 75 to 84 |
431 |
Number Of Beneficiaries Age Greater 84 |
278 |
Number Of Female Beneficiaries |
703 |
Number Of Male Beneficiaries |
467 |
Number Of Non Hispanic White Beneficiaries |
1136 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1078 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3378 |