National Provider Identifier [NPI]: |
1972506277 |
Last Name Of The Provider |
WINKLER |
First Name Of The Provider |
KENT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 S THOMPSON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLAGSTAFF |
Zip Code Of The Provider |
860018759 |
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 |
105 |
Number Of Services |
8503 |
Number Of Medicare Beneficiaries |
2057 |
Total Submitted Charge Amount |
934407.98 |
Total Medicare Allowed Amount |
919775.14 |
Total Medicare Payment Amount |
686625.76 |
Total Medicare Standardized Payment Amount |
700872.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1383 |
Number Of Medicare Beneficiaries With Drug Services |
352 |
Total Drug Submitted ChargeAmount |
50494.73 |
Total Drug Medicare AllowedAmount |
49768.51 |
Total Drug Medicare PaymentAmount |
38281.37 |
Total Drug Medicare Standardized Payment Amount |
38281.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
7120 |
Number Of Medicare Beneficiaries With Medical Services |
2057 |
Total Medical Submitted Charge Amount |
883913.25 |
Total Medical Medicare Allowed Amount |
870006.63 |
Total Medical Medicare Payment Amount |
648344.39 |
Total Medical Medicare Standardized Payment Amount |
662591.17 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
967 |
Number Of Beneficiaries Age 75 to 84 |
618 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
980 |
Number Of Male Beneficiaries |
1077 |
Number Of Non Hispanic White Beneficiaries |
1553 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
146 |
Number Of American Indian Alaska Native Beneficiaries |
294 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1684 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
373 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4267 |