National Provider Identifier [NPI]: |
1780882407 |
Last Name Of The Provider |
JOKERST |
First Name Of The Provider |
CLINTON |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13400 E SHEA BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCOTTSDALE |
Zip Code Of The Provider |
852595452 |
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 |
29 |
Number Of Services |
3512 |
Number Of Medicare Beneficiaries |
2094 |
Total Submitted Charge Amount |
214178 |
Total Medicare Allowed Amount |
66949.56 |
Total Medicare Payment Amount |
51087.58 |
Total Medicare Standardized Payment Amount |
51672.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3512 |
Number Of Medicare Beneficiaries With Medical Services |
2094 |
Total Medical Submitted Charge Amount |
214178 |
Total Medical Medicare Allowed Amount |
66949.56 |
Total Medical Medicare Payment Amount |
51087.58 |
Total Medical Medicare Standardized Payment Amount |
51672.99 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
389 |
Number Of Beneficiaries Age 65 to 74 |
790 |
Number Of Beneficiaries Age 75 to 84 |
624 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
1083 |
Number Of Male Beneficiaries |
1011 |
Number Of Non Hispanic White Beneficiaries |
1555 |
Number Of Black or African American Beneficiaries |
59 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
342 |
Number Of American Indian Alaska Native Beneficiaries |
90 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1529 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
565 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0789 |