National Provider Identifier [NPI]: |
1811081284 |
Last Name Of The Provider |
ESCARZAGA |
First Name Of The Provider |
MONICA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
340 E PALM LN STE A175 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850044603 |
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 |
45 |
Number Of Services |
3427 |
Number Of Medicare Beneficiaries |
1299 |
Total Submitted Charge Amount |
382733 |
Total Medicare Allowed Amount |
232409.32 |
Total Medicare Payment Amount |
173793.14 |
Total Medicare Standardized Payment Amount |
174865.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
142 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
13138 |
Total Drug Medicare AllowedAmount |
7473.88 |
Total Drug Medicare PaymentAmount |
5861.14 |
Total Drug Medicare Standardized Payment Amount |
5861.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3285 |
Number Of Medicare Beneficiaries With Medical Services |
1299 |
Total Medical Submitted Charge Amount |
369595 |
Total Medical Medicare Allowed Amount |
224935.44 |
Total Medical Medicare Payment Amount |
167932 |
Total Medical Medicare Standardized Payment Amount |
169004.66 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
641 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
655 |
Number Of Male Beneficiaries |
644 |
Number Of Non Hispanic White Beneficiaries |
962 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
220 |
Number Of American Indian Alaska Native Beneficiaries |
27 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1031 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.6194 |