National Provider Identifier [NPI]: |
1194988311 |
Last Name Of The Provider |
MEADOWS |
First Name Of The Provider |
RHIANNA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
840 E MCKELLIPS RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852039645 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
512 |
Number Of Medicare Beneficiaries |
187 |
Total Submitted Charge Amount |
68719 |
Total Medicare Allowed Amount |
34142.75 |
Total Medicare Payment Amount |
21981.62 |
Total Medicare Standardized Payment Amount |
22403.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
81 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
2349 |
Total Drug Medicare AllowedAmount |
1228.13 |
Total Drug Medicare PaymentAmount |
1180.79 |
Total Drug Medicare Standardized Payment Amount |
1180.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
431 |
Number Of Medicare Beneficiaries With Medical Services |
187 |
Total Medical Submitted Charge Amount |
66370 |
Total Medical Medicare Allowed Amount |
32914.62 |
Total Medical Medicare Payment Amount |
20800.83 |
Total Medical Medicare Standardized Payment Amount |
21223.11 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
110 |
Number Of Male Beneficiaries |
77 |
Number Of Non Hispanic White Beneficiaries |
154 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
134 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
12 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9854 |