National Provider Identifier [NPI]: |
1760442180 |
Last Name Of The Provider |
ARMAGANIAN |
First Name Of The Provider |
LISA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 N 99 ST |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
WAUWATOSA |
Zip Code Of The Provider |
53226 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
3652 |
Number Of Medicare Beneficiaries |
1442 |
Total Submitted Charge Amount |
1073932 |
Total Medicare Allowed Amount |
263782.15 |
Total Medicare Payment Amount |
195740.91 |
Total Medicare Standardized Payment Amount |
202410.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
184 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
28336 |
Total Drug Medicare AllowedAmount |
9743.19 |
Total Drug Medicare PaymentAmount |
7524.25 |
Total Drug Medicare Standardized Payment Amount |
7524.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3468 |
Number Of Medicare Beneficiaries With Medical Services |
1442 |
Total Medical Submitted Charge Amount |
1045596 |
Total Medical Medicare Allowed Amount |
254038.96 |
Total Medical Medicare Payment Amount |
188216.66 |
Total Medical Medicare Standardized Payment Amount |
194886.33 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
473 |
Number Of Beneficiaries Age 75 to 84 |
548 |
Number Of Beneficiaries Age Greater 84 |
331 |
Number Of Female Beneficiaries |
736 |
Number Of Male Beneficiaries |
706 |
Number Of Non Hispanic White Beneficiaries |
1334 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4394 |