National Provider Identifier [NPI]: |
1003866278 |
Last Name Of The Provider |
SCIARA |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
19829 N 27TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850274001 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
1944 |
Number Of Medicare Beneficiaries |
686 |
Total Submitted Charge Amount |
330018.88 |
Total Medicare Allowed Amount |
167713.44 |
Total Medicare Payment Amount |
123882.01 |
Total Medicare Standardized Payment Amount |
126870.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
2999.24 |
Total Drug Medicare AllowedAmount |
1256.12 |
Total Drug Medicare PaymentAmount |
1174.73 |
Total Drug Medicare Standardized Payment Amount |
1174.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
1837 |
Number Of Medicare Beneficiaries With Medical Services |
686 |
Total Medical Submitted Charge Amount |
327019.64 |
Total Medical Medicare Allowed Amount |
166457.32 |
Total Medical Medicare Payment Amount |
122707.28 |
Total Medical Medicare Standardized Payment Amount |
125695.49 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
331 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
622 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3912 |