National Provider Identifier [NPI]: |
1740276245 |
Last Name Of The Provider |
HOBBS |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
641 W WARNER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GILBERT |
Zip Code Of The Provider |
852337266 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
8463 |
Number Of Medicare Beneficiaries |
2845 |
Total Submitted Charge Amount |
906186 |
Total Medicare Allowed Amount |
385080.11 |
Total Medicare Payment Amount |
267028.93 |
Total Medicare Standardized Payment Amount |
275643.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
2313 |
Number Of Medicare Beneficiaries With Drug Services |
614 |
Total Drug Submitted ChargeAmount |
86107 |
Total Drug Medicare AllowedAmount |
3427.17 |
Total Drug Medicare PaymentAmount |
2539.83 |
Total Drug Medicare Standardized Payment Amount |
2539.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
6150 |
Number Of Medicare Beneficiaries With Medical Services |
2845 |
Total Medical Submitted Charge Amount |
820079 |
Total Medical Medicare Allowed Amount |
381652.94 |
Total Medical Medicare Payment Amount |
264489.1 |
Total Medical Medicare Standardized Payment Amount |
273103.69 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
516 |
Number Of Beneficiaries Age 65 to 74 |
1380 |
Number Of Beneficiaries Age 75 to 84 |
683 |
Number Of Beneficiaries Age Greater 84 |
266 |
Number Of Female Beneficiaries |
1740 |
Number Of Male Beneficiaries |
1105 |
Number Of Non Hispanic White Beneficiaries |
2488 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
170 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
2412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
433 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9843 |