National Provider Identifier [NPI]: |
1669466553 |
Last Name Of The Provider |
ESPINOSA |
First Name Of The Provider |
RENEE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3805 E BELL RD |
Street Address 2 Of The Provider |
SUITE 3100 |
City Of The Provider |
PHOENIX |
Zip Code Of The Provider |
850322105 |
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 |
37 |
Number Of Services |
3872 |
Number Of Medicare Beneficiaries |
835 |
Total Submitted Charge Amount |
750564 |
Total Medicare Allowed Amount |
365912.5 |
Total Medicare Payment Amount |
268022.06 |
Total Medicare Standardized Payment Amount |
274692.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
161 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
17869 |
Total Drug Medicare AllowedAmount |
8281.28 |
Total Drug Medicare PaymentAmount |
6474.27 |
Total Drug Medicare Standardized Payment Amount |
6474.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3711 |
Number Of Medicare Beneficiaries With Medical Services |
835 |
Total Medical Submitted Charge Amount |
732695 |
Total Medical Medicare Allowed Amount |
357631.22 |
Total Medical Medicare Payment Amount |
261547.79 |
Total Medical Medicare Standardized Payment Amount |
268218.45 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
380 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
454 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
799 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
793 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4442 |