National Provider Identifier [NPI]: |
1366584013 |
Last Name Of The Provider |
CLIFFORD |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MICHAEL CLIFFORD MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7151 CASCADE VALLEY CT |
Street Address 2 Of The Provider |
SUITE 103 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891280496 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
24635 |
Number Of Medicare Beneficiaries |
403 |
Total Submitted Charge Amount |
1625889.47 |
Total Medicare Allowed Amount |
1162081.32 |
Total Medicare Payment Amount |
898135.13 |
Total Medicare Standardized Payment Amount |
890658.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
19729 |
Number Of Medicare Beneficiaries With Drug Services |
265 |
Total Drug Submitted ChargeAmount |
949744.47 |
Total Drug Medicare AllowedAmount |
794359.54 |
Total Drug Medicare PaymentAmount |
621588.03 |
Total Drug Medicare Standardized Payment Amount |
621588.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
4906 |
Number Of Medicare Beneficiaries With Medical Services |
403 |
Total Medical Submitted Charge Amount |
676145 |
Total Medical Medicare Allowed Amount |
367721.78 |
Total Medical Medicare Payment Amount |
276547.1 |
Total Medical Medicare Standardized Payment Amount |
269070.47 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
281 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
299 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5023 |